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General NPI Number Information
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NPI Number | 1144105792
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Entity Type | Organization
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Legal Business Name | BACK FOUNDATION CHIROPRACTIC ABRAHAMS, PC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2724 LUPINE
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City | LAKE FOREST
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State | CA
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Zip | 92630
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Country | US
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Telephone | 949-229-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 26741 PORTOLA PARKWAY STE. 1E #636
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610-1763
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Country | US
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Telephone | 949-229-5508
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT WILLIAM ABRAHAMS
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Credential | DC
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Telephone | 949-229-5508
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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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