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General NPI Number Information
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NPI Number | 1417534579
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Entity Type | Organization
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Legal Business Name | RAWLINSON CHIROPRACTIC INC
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 95 W 11TH ST STE 102
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City | TRACY
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State | CA
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Zip | 95376-3960
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Country | US
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Telephone | 209-229-8756
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Fax | 888-972-1896
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Provider Business Mailing Address
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Address Line | 95 W 11TH ST STE 102
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City | TRACY
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State | CA
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Zip | 95376-3960
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Country | US
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Telephone | 209-229-8756
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Fax | 888-972-1896
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Authorized Official
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Title or Position | OWNER/DC
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Name | TREVIS RAWLINSON
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Credential | DC
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Telephone | 209-229-8756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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