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General NPI Number Information
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NPI Number | 1366535916
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Entity Type | Organization
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Legal Business Name | FRATTO HOPSTOCK CHIROPRACTIC, INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 838 N HACIENDA BLVD STE B
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City | LA PUENTE
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State | CA
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Zip | 91744-2800
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Country | US
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Telephone | 626-369-3770
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Fax | 626-369-3778
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Provider Business Mailing Address
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Address Line | 838 N HACIENDA BLVD STE B
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City | LA PUENTE
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State | CA
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Zip | 91744-2800
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Country | US
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Telephone | 626-369-3770
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Fax | 626-369-3778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUZANNE MARIE FRATTO HOPSTOCK
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Credential | D.C.
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Telephone | 626-369-3770
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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 | COR 1865
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License Number State | CA
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