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General NPI Number Information
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NPI Number | 1215809686
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Entity Type | Organization
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Legal Business Name | OLIVER CHIROPRACTIC CARE INCORPORATED
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 8788 ELK GROVE BLVD BLDG 3 SUITE 19
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City | ELK GROVE
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State | CA
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Zip | 95624-1766
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Country | US
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Telephone | 530-863-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 9131 FARRINGTON CT
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City | ELK GROVE
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State | CA
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Zip | 95624-3502
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Country | US
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Telephone | 530-863-3551
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CLINIC CHIROPRACTOR
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Name | CHARLES DEAN OLIVER
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Credential | DC
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Telephone | 530-863-3551
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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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