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General NPI Number Information
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NPI Number | 1356680219
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Entity Type | Organization
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Legal Business Name | UNION NOE CHIROPRACTIC GROUP INC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 1555 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90015-3806
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Country | US
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Telephone | 213-385-3020
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Fax | 213-385-3022
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Provider Business Mailing Address
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Address Line | 1555 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90015-3806
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Country | US
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Telephone | 213-385-3020
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Fax | 213-385-3022
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JAMES NOE
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Credential |
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Telephone | 213-385-3020
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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 | 0002659797-0001-0
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License Number State | CA
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