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General NPI Number Information
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NPI Number | 1104441724
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Entity Type | Organization
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Legal Business Name | INNERHEALTH CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 223 N GARFIELD AVE STE 302
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-545-2297
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Fax | 626-545-2278
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Provider Business Mailing Address
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Address Line | 223 N GARFIELD AVE STE 302
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-545-2297
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Fax | 626-545-2278
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. HOC TIET
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Credential | DC
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Telephone | 626-545-2297
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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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