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General NPI Number Information
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NPI Number | 1457571648
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Entity Type | Organization
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Legal Business Name | RONALD J. MOSTOWSKI,CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1500 STANDIFORD AVE BLDG. B
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City | MODESTO
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State | CA
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Zip | 95350-0592
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Country | US
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Telephone | 209-577-3300
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Fax | 209-577-3569
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Provider Business Mailing Address
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Address Line | 1500 STANDIFORD AVE BLDG. B
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City | MODESTO
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State | CA
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Zip | 95350-0592
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Country | US
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Telephone | 209-577-3300
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Fax | 209-577-3569
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. RONALD J. MOSTOWSKI
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Credential | D.C.
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Telephone | 209-577-3300
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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 | 15328
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License Number State | CA
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