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General NPI Number Information
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NPI Number | 1205272465
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Entity Type | Organization
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Legal Business Name | CHOY-UNRUH CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 424 N LAKE AVE STE 104
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City | PASADENA
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State | CA
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Zip | 91101-1202
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Country | US
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Telephone | 626-398-3838
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | MONROVIA
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State | CA
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Zip | 91017-0511
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Country | US
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Telephone | 626-695-9599
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIFFANY W. CHOY-UNRUH
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Credential | D.C.
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Telephone | 626-695-9599
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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 | 32337
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License Number State | CA
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