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General NPI Number Information
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NPI Number | 1447705157
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Entity Type | Organization
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Legal Business Name | DISABATINO CHIROPRACTIC AND REHAB INC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 3456 CAMINO DEL RIO N STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92108-1714
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Country | US
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Telephone | 619-322-4626
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Fax | 619-923-2873
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Provider Business Mailing Address
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Address Line | 3456 CAMINO DEL RIO N STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92108-1714
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Country | US
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Telephone | 619-322-4626
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Fax | 619-923-2873
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NICHOLAS ANDREW DISABATINO
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Credential | DC
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Telephone | 619-322-4626
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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 |
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License Number State |
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