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General NPI Number Information
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NPI Number | 1275242844
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Entity Type | Organization
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Legal Business Name | ACOBA CHIROPRACTIC GROUP, APC
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 902 N GRAND AVE STE 100A
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City | SANTA ANA
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State | CA
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Zip | 92701-4218
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Country | US
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Telephone | 657-600-9285
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Fax | 657-600-9286
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Provider Business Mailing Address
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Address Line | 902 N GRAND AVE STE 100A
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City | SANTA ANA
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State | CA
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Zip | 92701-4218
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Country | US
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Telephone | 657-600-9285
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Fax | 657-600-9286
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Authorized Official
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Title or Position | OWNER
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Name | DWAYNE ACOBA
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Credential | DC
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Telephone | 562-261-3333
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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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