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General NPI Number Information
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NPI Number | 1124326988
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Entity Type | Organization
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Legal Business Name | FROMER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 5123 W SUNSET BLVD STE 202
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City | LOS ANGELES
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State | CA
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Zip | 90027-5779
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Country | US
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Telephone | 323-962-8520
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Fax | 323-962-6832
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Provider Business Mailing Address
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Address Line | 5123 W SUNSET BLVD STE 202
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City | LOS ANGELES
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State | CA
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Zip | 90027-5779
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Country | US
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Telephone | 323-962-8520
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Fax | 323-962-6832
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ERIC B FROMER
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Credential | DC
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Telephone | 323-962-8520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 17684
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License Number State | CA
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