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General NPI Number Information
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NPI Number | 1396833133
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Entity Type | Organization
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Legal Business Name | KACHANON-GREGORY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 236 W MOUNTAIN ST SUITE 107
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City | PASADENA
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State | CA
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Zip | 91103-2967
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Country | US
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Telephone | 626-444-9090
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Fax | 626-449-0800
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Provider Business Mailing Address
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Address Line | 236 W MOUNTAIN ST SUITE 107
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City | PASADENA
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State | CA
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Zip | 91103-2967
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Country | US
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Telephone | 626-444-9090
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Fax | 626-449-0800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD KACHANON
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Credential | D.C.
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Telephone | 626-449-0900
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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 | DC29372
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC29435
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License Number State | CA
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