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General NPI Number Information
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NPI Number | 1386396018
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Entity Type | Organization
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Legal Business Name | AMBER N. KINGSLEY D.C., INC, A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 1012 CARVER RD
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City | MODESTO
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State | CA
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Zip | 95350-4732
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Country | US
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Telephone | 209-549-2215
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Fax | 209-549-2216
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Provider Business Mailing Address
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Address Line | 1012 CARVER RD
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City | MODESTO
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State | CA
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Zip | 95350-4732
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Country | US
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Telephone | 209-549-2215
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Fax | 209-549-2216
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Authorized Official
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Title or Position | CEO
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Name | DR. AMBER N KINGSLEY
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Credential | D.C.
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Telephone | 209-549-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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