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General NPI Number Information
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NPI Number | 1366584963
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Entity Type | Organization
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Legal Business Name | LUCHA CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2600 PARK AVE SUITE 202
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City | CONCORD
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State | CA
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Zip | 94520-1929
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Country | US
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Telephone | 925-288-0707
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Fax | 925-288-0705
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Provider Business Mailing Address
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Address Line | 2600 PARK AVE SUITE 202
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City | CONCORD
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State | CA
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Zip | 94520-1929
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Country | US
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Telephone | 925-288-0707
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Fax | 925-288-0705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL E. LUCHA
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Credential | D.C.
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Telephone | 925-288-0707
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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 | DC 28258
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License Number State | CA
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