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General NPI Number Information
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NPI Number | 1265462949
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Entity Type | Organization
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Legal Business Name | MILAM CHIROPRACTIC, A PROFESSIONAL CORP
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3620 S BRISTOL ST SUITE 106
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City | SANTA ANA
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State | CA
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Zip | 92704-7300
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Country | US
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Telephone | 714-241-9355
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Fax | 714-241-9998
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Provider Business Mailing Address
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Address Line | 3620 S BRISTOL ST SUITE 106
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City | SANTA ANA
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State | CA
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Zip | 92704-7300
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Country | US
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Telephone | 714-241-9355
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Fax | 714-241-9998
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SEAN O'NEAL MILAM
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Credential | D.C.
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Telephone | 714-241-9355
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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 | DC26777
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License Number State | CA
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