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General NPI Number Information
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NPI Number | 1265782718
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Entity Type | Organization
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Legal Business Name | ERWIN CHIROPRACTIC INC.
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 900 FULTON AVE 102
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City | SACRAMENTO
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State | CA
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Zip | 95825-4500
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Country | US
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Telephone | 916-973-0623
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Fax | 916-973-0338
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Provider Business Mailing Address
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Address Line | 900 FULTON AVE 102
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City | SACRAMENTO
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State | CA
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Zip | 95825-4500
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Country | US
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Telephone | 916-973-0623
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Fax | 916-973-0338
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD R ERWIN
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Credential | DC
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Telephone | 916-973-0623
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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 | 20581
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License Number State | CA
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