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General NPI Number Information
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NPI Number | 1427508480
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CENTERS
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 3821 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90063-3601
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Country | US
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Telephone | 323-263-0075
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Fax | 323-263-0481
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Provider Business Mailing Address
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Address Line | 3821 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90063-3601
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Country | US
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Telephone | 323-263-0075
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Fax | 323-263-0481
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA GUADALUPE PRECIADO
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Credential | CHIROPRACTOR
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Telephone | 323-263-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 23952
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License Number State | CA
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