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General NPI Number Information
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NPI Number | 1225250467
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Entity Type | Organization
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Legal Business Name | OU & PAN CHIROPRACTIC SERVICES INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 212 9TH ST #304
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City | OAKLAND
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State | CA
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Zip | 94607
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Country | US
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Telephone | 510-452-0030
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Fax | 510-452-0130
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Provider Business Mailing Address
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Address Line | 212 9TH ST #304
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City | OAKLAND
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State | CA
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Zip | 94607
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Country | US
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Telephone | 510-452-0030
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Fax | 510-452-0130
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Authorized Official
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Title or Position | CHIROPRACTOR PRESIDENT
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Name | YI OU
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Credential | DC
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Telephone | 415-215-7228
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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 | DC28013
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License Number State | CA
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