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General NPI Number Information
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NPI Number | 1104479443
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Entity Type | Organization
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Legal Business Name | EQUIPOISE CHIROPRACTIC GREY AND ASSOCIATES PC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 1844 MARKET ST # 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6283
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Country | US
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Telephone | 415-722-9432
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Fax | 415-233-4697
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Provider Business Mailing Address
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Address Line | 1844 MARKET ST # 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6283
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Country | US
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Telephone | 415-722-9432
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Fax | 415-233-4697
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA KENNETH HUGHES GREY
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Credential | DC
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Telephone | 415-722-9432
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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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