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General NPI Number Information
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NPI Number | 1396553764
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Entity Type | Organization
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Legal Business Name | AUTO ACCIDENT & CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2409 E PLAZA BLVD
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5101
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Country | US
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Telephone | 619-434-7333
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Fax | 619-434-7399
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Provider Business Mailing Address
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Address Line | 2409 E PLAZA BLVD
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City | NATIONAL CITY
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State | CA
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Zip | 91950-5101
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Country | US
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Telephone | 619-434-7333
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Fax | 619-434-7333
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ENRIQUE GUERENA
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Credential | DC
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Telephone | 619-434-7333
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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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