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General NPI Number Information
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NPI Number | 1417027202
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Entity Type | Organization
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Legal Business Name | ALESSANDRO CHIROPRACTIC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 25400 ALESSANDRO BLVD SUITE 102
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4319
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Country | US
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Telephone | 951-247-4292
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Fax | 951-247-6632
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Provider Business Mailing Address
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Address Line | 25400 ALESSANDRO BLVD SUITE 102
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4319
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Country | US
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Telephone | 951-247-4292
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Fax | 951-247-6632
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NORMAN E CORLEW
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Credential | D.C.
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Telephone | 951-247-4292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC17455
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License Number State | CA
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