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General NPI Number Information
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NPI Number | 1124342084
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Entity Type | Individual
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Provider Name | JOSEPH TICHIO D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 6109 LINDENHURST AVE
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City | LOS ANGELES
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State | CA
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Zip | 90048-4808
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Country | US
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Telephone | 323-430-8116
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Fax | 323-430-8116
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Provider Business Mailing Address
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Address Line | 526 N GENESEE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90036-1848
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Country | US
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Telephone | 310-743-3843
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Fax | 323-430-8116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC 27548
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License Number State | CA
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