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General NPI Number Information
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NPI Number | 1316330301
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Entity Type | Organization
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Legal Business Name | THE ADAMS CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 03/14/2015
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Last Update Date | 03/14/2015
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Provider Practice Location Address
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Address Line | 15850 LANDMARK DR SUITE 14
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City | WHITTIER
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State | CA
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Zip | 90604-3869
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Country | US
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Telephone | 562-265-8728
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Fax |
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Provider Business Mailing Address
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Address Line | 15850 LANDMARK DR SUITE 14
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City | WHITTIER
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State | CA
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Zip | 90604-3869
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Country | US
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Telephone | 562-265-8728
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. REGINA MARCELLA ADAMS
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Credential | D.C, B.SC.
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Telephone | 562-265-8728
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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 | DC33107
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License Number State | CA
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