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General NPI Number Information
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NPI Number | 1285123596
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Entity Type | Organization
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Legal Business Name | M R JONES CHIROPRACTIC HEALTH SERVICES INC
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 2815 WHIPPLE RD
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City | UNION CITY
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State | CA
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Zip | 94587-1233
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Country | US
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Telephone | 510-324-0100
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Fax | 510-324-0101
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Provider Business Mailing Address
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Address Line | 2815 WHIPPLE RD
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City | UNION CITY
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State | CA
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Zip | 94587-1233
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Country | US
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Telephone | 510-324-0100
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Fax | 510-324-0101
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Authorized Official
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Title or Position | OWNER/FOUNDER/CHIROPRACTOR
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Name | DR. MICHAEL ROBERT JONES
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Credential | DC
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Telephone | 510-324-0100
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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 | 29777
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License Number State | CA
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