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General NPI Number Information
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NPI Number | 1235688391
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Entity Type | Organization
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Legal Business Name | ALBADANI TOTAL WELLNESS CHIROPRACTIC
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 6700 SANTA RITA RD STE D
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City | PLEASANTON
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State | CA
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Zip | 94588-3467
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Country | US
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Telephone | 925-858-6844
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Fax | 925-463-1298
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Provider Business Mailing Address
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Address Line | 6700 SANTA RITA RD STE D
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City | PLEASANTON
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State | CA
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Zip | 94588-3467
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Country | US
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Telephone | 925-858-6844
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Fax | 925-463-1298
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | FAWAZ ALBDULLAH ALBADANI
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Credential | DC
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Telephone | 925-858-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 32456
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License Number State | CA
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