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General NPI Number Information
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NPI Number | 1346829223
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Entity Type | Individual
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Provider Name | JAKE BELABIN DC
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/10/2021
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Provider Practice Location Address
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Address Line | 14650 AVIATION BLVD STE 225
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City | HAWTHORNE
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State | CA
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Zip | 90250-6666
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Country | US
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Telephone | 310-536-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 4937 W 119TH ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-2718
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Country | US
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Telephone | 954-857-9123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC36062
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License Number State | CA
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