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General NPI Number Information
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NPI Number | 1316876592
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Entity Type | Organization
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Legal Business Name | LIONHEART CHIROPRACTIC AND FUNCTIONAL HEALTH, GRAHAM, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 710 RIVER ST STE 5
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2748
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Country | US
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Telephone | 831-515-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 710 RIVER ST STE 5
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2748
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Country | US
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Telephone | 831-515-9004
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/ CEO
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Name | DR. CHERYL GRAHAM
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Credential | DC, FMACP
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Telephone | 831-566-6597
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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 |
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License Number State |
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