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General NPI Number Information
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NPI Number | 1366568354
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Entity Type | Organization
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Legal Business Name | HORRIGAN SPORTS CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13160 MINDANAO WAY 308
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6358
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Country | US
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Telephone | 310-279-4355
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Fax | 310-279-4394
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Provider Business Mailing Address
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Address Line | 13160 MINDANAO WAY 308
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6358
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Country | US
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Telephone | 310-279-4355
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Fax | 310-279-4394
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH MICHAEL HORRIGAN
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Credential | CHIROPRACTOR
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Telephone | 310-279-4355
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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 | DC20228
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License Number State | CA
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