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General NPI Number Information
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NPI Number | 1295950574
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Entity Type | Organization
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Legal Business Name | JAY R. ROBBINS D.C.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 245 W BADILLO ST STE E
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City | COVINA
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State | CA
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Zip | 91723-1923
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Country | US
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Telephone | 626-967-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 245 W BADILLO ST STE E
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City | COVINA
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State | CA
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Zip | 91723-1923
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Country | US
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Telephone | 626-967-6461
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Fax | 626-332-4264
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. JAY R ROBBINS
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Credential | D.C.
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Telephone | 626-967-6461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 20369
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License Number State | CA
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