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General NPI Number Information
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NPI Number | 1184866550
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Entity Type | Individual
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Provider Name | AMANDA ELIZABETH APESOS D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 730 CAMINO RAMON SUITE 200
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City | DANVILLE
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State | CA
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Zip | 94526-4262
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Country | US
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Telephone | 510-289-1436
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 ADELINE ST APT 103
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City | EMERYVILLE
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State | CA
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Zip | 94608-4454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31151
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License Number State | CA
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