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General NPI Number Information
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NPI Number | 1417524497
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Entity Type | Organization
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Legal Business Name | YI C CHEN CHIROPRACTIC CORP
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 13890 PEYTON DR STE C
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City | CHINO HILLS
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State | CA
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Zip | 91709-1612
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Country | US
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Telephone | 626-262-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 13890 PEYTON DR STE C
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City | CHINO HILLS
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State | CA
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Zip | 91709-1612
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Country | US
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Telephone | 626-262-1789
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | DR. DENNY T CHIU
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Credential | DC
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Telephone | 626-262-1789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number |
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License Number State |
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