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General NPI Number Information
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NPI Number | 1215212535
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Entity Type | Organization
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Legal Business Name | MISSAKIAN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 83 N MAIN ST
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City | PORTERVILLE
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State | CA
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Zip | 93257-3711
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Country | US
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Telephone | 559-781-3033
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Fax | 559-781-3073
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Provider Business Mailing Address
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Address Line | 83 N MAIN ST
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City | PORTERVILLE
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State | CA
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Zip | 93257-3711
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Country | US
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Telephone | 559-781-3033
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Fax | 559-781-3073
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. MASSEY W MISSAKIAN
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Credential | D.C.
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Telephone | 559-781-3033
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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 | DC29768
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License Number State | CA
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