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General NPI Number Information
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NPI Number | 1194602078
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Entity Type | Organization
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Legal Business Name | AXELROD PERFORMANCE CHIROPRACTIC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 4962 EL CAMINO REAL STE 120
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City | LOS ALTOS
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State | CA
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Zip | 94022-1410
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Country | US
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Telephone | 408-502-7427
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Fax |
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Provider Business Mailing Address
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Address Line | 180 WAVERLY ST
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City | SUNNYVALE
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State | CA
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Zip | 94086-6021
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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 | OWNER/CHIROPRACTOR/ACUPUNCTURIST
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Name | DANIEL AXELROD
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Credential | D.C., L.AC
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Telephone | 516-233-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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