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General NPI Number Information
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NPI Number | 1427570670
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Entity Type | Organization
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Legal Business Name | RASSEL CHIROPRACTIC GROUP INC
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 330 W FELICITA AVE STE B1
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City | ESCONDIDO
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State | CA
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Zip | 92025-6542
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Country | US
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Telephone | 760-489-0303
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Fax | 760-489-0480
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Provider Business Mailing Address
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Address Line | 330 W FELICITA AVE STE B1
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City | ESCONDIDO
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State | CA
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Zip | 92025-6542
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Country | US
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Telephone | 760-489-0303
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Fax | 760-489-0480
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Authorized Official
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Title or Position | OWNER
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Name | IAN PHILLIP RASSEL
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Credential | DC
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Telephone | 760-489-0303
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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 | 4061
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License Number State | CA
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