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General NPI Number Information
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NPI Number | 1134771058
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Entity Type | Organization
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Legal Business Name | AHAVA CHIROPRACTIC A ROSAS CORPORATION
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 9220 HAVEN AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8551
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Country | US
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Telephone | 909-276-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 HAVEN AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8551
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Country | US
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Telephone | 909-276-4035
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERTO CASTANEDA ROSAS
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Credential | DC
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Telephone | 714-454-6227
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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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