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General NPI Number Information
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NPI Number | 1295273613
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Entity Type | Organization
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Legal Business Name | JARED YOUNG CHIROPRACTIC, INC
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 8780 WARNER AVE STE 11
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3210
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Country | US
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Telephone | 714-847-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 8780 WARNER AVE STE 11
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3210
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Country | US
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Telephone | 714-847-8989
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | JARED YOUNG
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Credential | DC
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Telephone | 714-847-8989
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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 | 33779
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32893
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License Number State | CA
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