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General NPI Number Information
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NPI Number | 1093699050
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Entity Type | Organization
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Legal Business Name | SANDERS CHIROPRACTIC INC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7365 CARNELIAN ST STE 134
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1100
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Country | US
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Telephone | 909-481-5292
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Fax | 909-481-9708
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Provider Business Mailing Address
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Address Line | 7365 CARNELIAN ST STE 134
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1100
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Country | US
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Telephone | 909-481-5292
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Fax | 909-481-9708
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Authorized Official
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Title or Position | CEO
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Name | KENNETH SANDERS
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Credential | DC
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Telephone | 909-481-5292
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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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