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General NPI Number Information
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NPI Number | 1487675476
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Entity Type | Organization
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Legal Business Name | JEFFREY KATZ CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 4879 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-584-3042
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Fax | 415-584-3052
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Provider Business Mailing Address
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Address Line | 4879 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-584-3042
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Fax | 415-584-3052
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Authorized Official
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Title or Position | ACUPUNCTURIST CHIROPRACTOR
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Name | DR. CATHERINE NGHIEM-SHUM
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Credential | DC LAC QME
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Telephone | 415-584-3042
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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 | DC14657
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8015
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27496
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License Number State | CA
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