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General NPI Number Information
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NPI Number | 1396076790
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Entity Type | Organization
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Legal Business Name | TODOROFF AND CHAPMAN A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 410 S SANTA FE AVE SUITE 202
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City | VISTA
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State | CA
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Zip | 92084-6163
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Country | US
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Telephone | 760-726-4275
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Fax | 760-726-4278
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Provider Business Mailing Address
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Address Line | 410 S SANTA FE AVE SUITE 202
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City | VISTA
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State | CA
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Zip | 92084-6163
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Country | US
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Telephone | 760-726-4275
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Fax | 760-726-4278
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA J TODOROFF
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Credential | DO
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Telephone | 760-726-4275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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