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General NPI Number Information
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NPI Number | 1154913473
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Entity Type | Organization
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Legal Business Name | BABCOCK CHIROPRACTIC AND WELLNESS CENTER, PC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 2410 SAN RAMON VALLEY BLVD STE 115
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City | SAN RAMON
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State | CA
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Zip | 94583-1788
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Country | US
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Telephone | 925-838-2600
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Fax | 915-838-2107
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Provider Business Mailing Address
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Address Line | 2410 SAN RAMON VALLEY BLVD STE 115
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City | SAN RAMON
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State | CA
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Zip | 94583-1788
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Country | US
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Telephone | 925-838-2600
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Fax | 915-838-2107
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Authorized Official
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Title or Position | OWNER
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Name | BRENT BABCOCK
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Credential | DC
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Telephone | 925-838-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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