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General NPI Number Information
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NPI Number | 1477880128
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Entity Type | Organization
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Legal Business Name | ROSENCRANS CHIROPRACTIC, INC
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 2700 W COAST HWY SUITE 234
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4725
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Country | US
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Telephone | 949-631-1440
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Fax | 949-631-1410
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Provider Business Mailing Address
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Address Line | 2700 WEST COAST HWY SUITE 234
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City | NEWPORT BEACH
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State | CA
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Zip | 92663
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Country | US
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Telephone | 949-631-1440
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Fax | 949-631-1410
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACQUI LYNN ROSENCRANS
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Credential | DC
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Telephone | 949-631-1440
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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 | DC 256614
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License Number State | CA
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