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General NPI Number Information
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NPI Number | 1265112270
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Entity Type | Organization
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Legal Business Name | AMIN AND BIDARIAN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 9220 HAVEN AVE STE 103
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8551
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Country | US
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Telephone | 909-377-2570
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Fax | 909-377-2570
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Provider Business Mailing Address
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Address Line | 9220 HAVEN AVE STE 103
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8551
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Country | US
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Telephone | 909-377-2570
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Fax | 909-377-2570
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JOHN D MADRID
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Credential | DC
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Telephone | 949-382-2747
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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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