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General NPI Number Information
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NPI Number | 1124393780
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Entity Type | Organization
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Legal Business Name | DC ATKINSON DC INC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 670 GREGORY LN STE C
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2771
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Country | US
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Telephone | 925-289-7300
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Fax | 925-746-7780
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Provider Business Mailing Address
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Address Line | 670 GREGORY LN STE C
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2771
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Country | US
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Telephone | 925-289-7300
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Fax | 925-746-7780
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SUSAN PATRICIA MINETTI
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Credential |
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Telephone | 925-287-9300
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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 | 13275
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License Number State | CA
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