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General NPI Number Information
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NPI Number | 1295438000
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Entity Type | Organization
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Legal Business Name | OSCAR RODRIGUEZ CHIROPRACTIC, INC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 675 N PARK AVE
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City | POMONA
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State | CA
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Zip | 91768-3622
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Country | US
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Telephone | 909-868-1160
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Fax | 909-469-6086
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Provider Business Mailing Address
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Address Line | 716 ARBOLADO DR
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City | FULLERTON
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State | CA
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Zip | 92835-1808
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Country | US
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Telephone | 562-400-1029
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTICIONER
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Name | OSCAR RODRIGUEZ
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Credential | DC
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Telephone | 562-400-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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