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General NPI Number Information
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NPI Number | 1386172757
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Entity Type | Organization
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Legal Business Name | JOSHUA AND JACOB PAREDES CHIROPRACTIC CORP
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 600 PACIFIC COAST HWY STE 200
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City | SEAL BEACH
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State | CA
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Zip | 90740
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Country | US
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Telephone | 714-585-2937
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Fax |
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Provider Business Mailing Address
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Address Line | 600 PACIFIC COAST HWY STE 200
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City | SEAL BEACH
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State | CA
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Zip | 90740-6600
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Country | US
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Telephone | 714-585-2937
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA DAVID PAREDES
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Credential | D.C.
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Telephone | 714-585-2937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 33320
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License Number State | CA
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