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General NPI Number Information
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NPI Number | 1407149214
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Entity Type | Organization
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Legal Business Name | MUSCLE WORKS, INC.
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 207 MAIN ST
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City | VISTA
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State | CA
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Zip | 92084-6009
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Country | US
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Telephone | 760-630-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 207 MAIN ST
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City | VISTA
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State | CA
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Zip | 92084-6009
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Country | US
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Telephone | 760-630-6013
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAUL P GUERRERO
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Credential |
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Telephone | 760-630-6013
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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 | DC21340
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License Number State | CA
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