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General NPI Number Information
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NPI Number | 1114230216
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Entity Type | Organization
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Legal Business Name | SANTANA INJURY CENTER
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 860 E LA HABRA BLVD SUITE 120
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City | LA HABRA
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State | CA
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Zip | 90631-5532
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Country | US
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Telephone | 562-691-4900
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Fax | 562-691-4300
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Provider Business Mailing Address
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Address Line | 860 E LA HABRA BLVD SUITE 120
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City | LA HABRA
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State | CA
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Zip | 90631-5532
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Country | US
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Telephone | 562-691-4900
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Fax | 562-691-4300
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Authorized Official
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Title or Position | OWNER
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Name | RUBEN SANTANA
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Credential | D.C,.
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Telephone | 562-691-4900
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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 | DC27759
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License Number State | CA
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