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General NPI Number Information
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NPI Number | 1164224317
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Entity Type | Organization
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Legal Business Name | JASON K GOSS CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 23043 LYONS AVE
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2719
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Country | US
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Telephone | 661-288-0022
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Fax | 661-288-2030
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Provider Business Mailing Address
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Address Line | 23043 LYONS AVE
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2719
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Country | US
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Telephone | 661-288-0022
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON KENNETH GOSS
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Credential | DC
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Telephone | 661-406-3929
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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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