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General NPI Number Information
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NPI Number | 1336647684
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Entity Type | Organization
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Legal Business Name | JOSHUA POLLACK CHIROPRACTIC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 701 EL CERRITO PLZ
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City | EL CERRITO
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State | CA
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Zip | 94530-4022
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Country | US
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Telephone | 510-710-5453
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Fax |
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Provider Business Mailing Address
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Address Line | 701 EL CERRITO PLZ
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City | EL CERRITO
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State | CA
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Zip | 94530-4022
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Country | US
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Telephone | 510-710-5453
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JOSHUA POLLACK
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Credential | DC
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Telephone | 510-710-5453
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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 | 33454
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License Number State | CA
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