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General NPI Number Information
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NPI Number | 1396975686
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Entity Type | Organization
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Legal Business Name | CAROL HONG CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 21127 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 310-316-0066
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Fax | 310-316-0060
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Provider Business Mailing Address
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Address Line | 21127 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 310-316-0066
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Fax | 310-316-0060
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Authorized Official
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Title or Position | CEO
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Name | DR. CAROL HONG
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Credential | D.C, LAC
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Telephone | 310-316-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC10606
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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 | DC29197
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License Number State | CA
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