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NPI 1275558769

NPI 1275558769 : ORSZAG CHIROPRACTIC CORPORATION : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1275558769
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORSZAG CHIROPRACTIC CORPORATION 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    891 PISMO ST 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-4017
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    Country              |    US
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    Telephone            |    805-544-6325
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    Fax                  |    805-544-6365
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Provider Business Mailing Address
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    Address Line         |    891 PISMO ST 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-4017
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    Country              |    US
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    Telephone            |    805-544-6325
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    Fax                  |    805-544-6365
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ADAM  ORSZAG 
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    Credential           |    D.C.
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    Telephone            |    805-544-6325
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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       |    DC21077
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    License Number State |    CA
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