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General NPI Number Information
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NPI Number | 1497179501
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Entity Type | Organization
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Legal Business Name | SANTANA CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 910 NEWTON ST
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City | SAN FERNANDO
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State | CA
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Zip | 91340-1430
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Country | US
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Telephone | 818-472-9915
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Fax | 818-256-3200
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Provider Business Mailing Address
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Address Line | 910 NEWTON ST
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City | SAN FERNANDO
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State | CA
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Zip | 91340-1430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ENRIQUE SANTANA
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Credential | DC
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Telephone | 818-472-9915
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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 | CA
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