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General NPI Number Information
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NPI Number | 1154702058
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Entity Type | Organization
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Legal Business Name | JEANNE M GRANT CHIROPRACTIC CORP
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 9307 CARLTON HILLS BLVD STE B
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City | SANTEE
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State | CA
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Zip | 92071-2572
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Country | US
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Telephone | 619-562-6860
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Fax | 619-562-9871
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Provider Business Mailing Address
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Address Line | 9307 CARLTON HILLS BLVD STE B
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City | SANTEE
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State | CA
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Zip | 92071-2572
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Country | US
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Telephone | 619-562-6860
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Fax | 619-562-9871
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. JEANNE M GRANT
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Credential | D.C.
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Telephone | 619-562-6860
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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 | DC23263
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License Number State | CA
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