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General NPI Number Information
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NPI Number | 1104074087
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Entity Type | Organization
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Legal Business Name | CHALIKIAN CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 221 E WALNUT ST STE 275
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City | PASADENA
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State | CA
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Zip | 91101-6001
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Country | US
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Telephone | 626-765-0555
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Fax | 626-765-0248
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Provider Business Mailing Address
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Address Line | 221 E WALNUT ST STE 275
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City | PASADENA
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State | CA
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Zip | 91101-6001
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Country | US
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Telephone | 626-765-0555
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Fax | 626-765-0248
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Authorized Official
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Title or Position | PRESIDENT, DC
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Name | DR. ALICE CHALIKIAN
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Credential | D.C.
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Telephone | 626-765-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | DC28350
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License Number State | CA
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