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General NPI Number Information
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NPI Number | 1356814602
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Entity Type | Organization
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Legal Business Name | FRANCKE OC CHIROPRACTIC NEUROLOGY CORP
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 25301 CABOT RD STE 106
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5511
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Country | US
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Telephone | 949-677-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PALATINE APT 419
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City | IRVINE
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State | CA
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Zip | 92612-5651
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Country | US
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Telephone | 949-677-1000
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DOMINIQUE FRANCKE
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Credential | DC
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Telephone | 949-677-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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