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General NPI Number Information
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NPI Number | 1083920144
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Entity Type | Organization
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Legal Business Name | UNION ROH CHIROPRACTIC GROUP INC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 3701 STOCKER ST STE 104A
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City | LOS ANGELES
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State | CA
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Zip | 90008-5145
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Country | US
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Telephone | 323-299-7606
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Fax | 323-299-7636
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Provider Business Mailing Address
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Address Line | 3701 STOCKER ST STE 104A
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City | LOS ANGELES
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State | CA
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Zip | 90008-5145
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Country | US
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Telephone | 323-299-7606
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Fax | 323-299-7636
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Authorized Official
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Title or Position | TREATING DOCTOR
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Name | SUN HO ROH
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Credential | D.C.
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Telephone | 323-299-7606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-31539
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License Number State | CA
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