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General NPI Number Information
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NPI Number | 1386096972
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Entity Type | Organization
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Legal Business Name | PATEL & ARANDA ACTIVE CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 4040 MOORPARK AVE STE 220
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City | SAN JOSE
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State | CA
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Zip | 95117-1852
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Country | US
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Telephone | 408-601-0316
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Fax |
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Provider Business Mailing Address
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Address Line | 330 CRESCENT VILLAGE CIR UNIT 2317
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City | SAN JOSE
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State | CA
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Zip | 95134-3500
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Country | US
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Telephone | 408-691-0473
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Fax |
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Authorized Official
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Title or Position | DOCTOR/ OWNER
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Name | DR. NEERA PATEL
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Credential | DC
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Telephone | 408-601-0316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 33226
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License Number State | CA
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