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General NPI Number Information
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NPI Number | 1356089056
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Entity Type | Organization
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Legal Business Name | DEL RIO CHIROPRACTIC INC.
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 12100 IMPERIAL HWY STE 103
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City | NORWALK
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State | CA
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Zip | 90650-3082
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Country | US
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Telephone | 562-651-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 15102 JERSEY AVE
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City | NORWALK
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State | CA
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Zip | 90650-6433
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Country | US
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Telephone | 323-506-4194
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. OSCAR MIGUEL ANGEL DEL RIO MARQUEZ
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Credential | DC
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Telephone | 323-506-4194
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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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