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General NPI Number Information
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NPI Number | 1346590254
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Entity Type | Organization
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Legal Business Name | COSH CHIRPRACTIC CARE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 2007 PINE ST
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City | REDDING
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State | CA
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Zip | 96001-1919
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Country | US
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Telephone | 530-244-1185
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Fax | 530-244-1186
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Provider Business Mailing Address
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Address Line | 2007 PINE ST
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City | REDDING
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State | CA
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Zip | 96001-1919
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Country | US
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Telephone | 530-244-1185
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Fax | 530-244-1186
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Authorized Official
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Title or Position | OWNER, DOCTOR, PRESIDENT
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Name | DR. CHRISTINA COSH DAVIS
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Credential | D.C.
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Telephone | 530-244-1185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | DC25681
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License Number State | CA
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