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General NPI Number Information
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NPI Number | 1093888679
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Entity Type | Organization
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Legal Business Name | ROBIN ALEXANDER. LAFAYETTE CHIROPRACTIC GROUP
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 3466 MT DIABLO BLVD STE C203
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City | LAFAYETTE
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State | CA
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Zip | 94549-3982
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Country | US
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Telephone | 925-283-8140
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Fax | 925-283-8224
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Provider Business Mailing Address
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Address Line | 3466 MT DIABLO BLVD STE C203
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City | LAFAYETTE
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State | CA
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Zip | 94549-3982
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Country | US
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Telephone | 925-283-8140
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Fax | 925-283-8224
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NIDHI KHANNA
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Credential |
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Telephone | 925-283-8140
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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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