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General NPI Number Information
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NPI Number | 1295804540
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Entity Type | Organization
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Legal Business Name | GENUS CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 2275 TORRANCE BLVD #102
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City | TORRANCE
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State | CA
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Zip | 90501-2550
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Country | US
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Telephone | 310-618-0122
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Fax | 310-618-0753
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Provider Business Mailing Address
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Address Line | 2275 TORRANCE BLVD #102
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City | TORRANCE
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State | CA
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Zip | 90501
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Country | US
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Telephone | 310-618-0122
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Fax | 310-618-0753
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH DEAN KURNIK
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Credential | DC
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Telephone | 310-618-0122
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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 | 12741
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License Number State | CA
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