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NPI 1396068193

NPI 1396068193 : ANDREONI CHIROPRACTIC INC. : FOLSOM, CA

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General NPI Number Information
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    NPI Number           |    1396068193
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREONI CHIROPRACTIC INC. 
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Dates
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    Enumeration Date     |    03/08/2010
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    Last Update Date     |    03/08/2010
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Provider Practice Location Address
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    Address Line         |    7940 FOLSOM AUBURN RD 
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    City                 |    FOLSOM
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    State                |    CA
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    Zip                  |    95630-1600
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    Country              |    US
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    Telephone            |    916-987-9991
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    Fax                  |    916-987-9904
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Provider Business Mailing Address
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    Address Line         |    7940 FOLSOM AUBURN RD 
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    City                 |    FOLSOM
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    State                |    CA
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    Zip                  |    95630-1600
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    Country              |    US
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    Telephone            |    916-987-9991
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    Fax                  |    916-987-9904
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LAURIE J ANDREONI 
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    Credential           |    D.C.
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    Telephone            |    916-987-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    DC24787
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    License Number State |    CA
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