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General NPI Number Information
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NPI Number | 1386875557
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Entity Type | Organization
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Legal Business Name | JARMAN CHIROPRACTIC STUDIO INC.
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 4217 SOLANO AVE
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City | NAPA
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State | CA
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Zip | 94558-1611
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Country | US
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Telephone | 707-257-3600
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Fax | 707-257-3600
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Provider Business Mailing Address
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Address Line | 4217 SOLANO AVE
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City | NAPA
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State | CA
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Zip | 94558-1611
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Country | US
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Telephone | 707-257-3600
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Fax | 707-257-3600
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROXANN MARIE BETTENCOURT
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Credential | D.C.
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Telephone | 707-257-3600
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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 | 21243
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License Number State | CA
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