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General NPI Number Information
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NPI Number | 1225548431
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Entity Type | Organization
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Legal Business Name | REICHERT CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 21669 REDWOOD RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-6431
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Country | US
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Telephone | 408-890-7503
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Fax |
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Provider Business Mailing Address
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Address Line | 778 CARDINAL DR
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City | LIVERMORE
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State | CA
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Zip | 94551-4247
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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/CEO
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Name | DR. JEFFREY REICHERT
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Credential | DC
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Telephone | 408-693-0064
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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 | 32181
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License Number State | CA
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