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General NPI Number Information
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NPI Number | 1093469710
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Entity Type | Organization
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Legal Business Name | CONTRERAS CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 4200 EAST AVE
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City | LIVERMORE
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State | CA
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Zip | 94550-4945
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Country | US
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Telephone | 925-606-5490
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 CATALINA DR # 194
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City | LIVERMORE
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State | CA
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Zip | 94550-5928
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Country | US
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Telephone | 775-364-0900
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Fax | 925-226-4007
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARDO D CONTRERAS
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Credential | DC
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Telephone | 925-606-5490
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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 |
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License Number State |
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