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General NPI Number Information
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NPI Number | 1366524381
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Entity Type | Organization
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Legal Business Name | BENJAMIN J RINALDO CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25272 MCINTYRE RD STE H
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-855-1115
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Fax | 949-855-2026
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Provider Business Mailing Address
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Address Line | 25272 MCINTYRE RD STE H
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-855-1115
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Fax | 949-855-2026
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. BENJAMIN JOSEPH RINALDO
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Credential | DC
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Telephone | 949-855-1115
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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 | 4631
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | C19961
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License Number State | CA
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