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General NPI Number Information
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NPI Number | 1245788033
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Entity Type | Organization
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Legal Business Name | PIERCE CHIROPRACTIC& SPORTS INJURY CENTER P C
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1415 E MAIN ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4801
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Country | US
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Telephone | 805-922-1721
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Fax | 805-928-8582
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Provider Business Mailing Address
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Address Line | 1415 E MAIN ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4801
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Country | US
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Telephone | 805-922-1721
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Fax | 805-928-8582
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. BEAU JONATHAN PIERCE
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Credential | D.C.
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Telephone | 805-922-1721
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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 | DC31468
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License Number State | CA
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