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General NPI Number Information
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NPI Number | 1396950796
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Entity Type | Organization
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Legal Business Name | MARTORANO CHIROPRACTIC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2021 THE ALAMEDA SUITE 170
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City | SAN JOSE
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State | CA
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Zip | 95126-1110
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Country | US
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Telephone | 408-249-3737
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Fax | 408-249-4323
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Provider Business Mailing Address
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Address Line | 1136 BRACE AVE APT 1
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City | SAN JOSE
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State | CA
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Zip | 95125-3205
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Country | US
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Telephone | 408-219-2940
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Fax | 408-283-0248
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | DR. JASON R MARTORANO
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Credential | D.C.
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Telephone | 408-219-2940
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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 | DC 30457
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License Number State | CA
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