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General NPI Number Information
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NPI Number | 1164057170
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Entity Type | Organization
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Legal Business Name | ARNOLD KOO CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 6654 KOLL CENTER PKWY STE 100
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City | PLEASANTON
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State | CA
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Zip | 94566-3123
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Country | US
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Telephone | 925-396-8004
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Fax | 925-396-8005
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Provider Business Mailing Address
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Address Line | 6654 KOLL CENTER PKWY STE 100
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City | PLEASANTON
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State | CA
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Zip | 94566-3123
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Country | US
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Telephone | 925-396-8004
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Fax | 925-396-8005
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARNOLD KOO
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Credential | DC
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Telephone | 925-396-8004
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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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