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General NPI Number Information
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NPI Number | 1497881171
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Entity Type | Organization
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Legal Business Name | MIDTOWN CHIROPRACTIC CARE INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2410 K ST A
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City | SACRAMENTO
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State | CA
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Zip | 95816-5033
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Country | US
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Telephone | 916-444-4446
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Fax | 916-444-4414
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Provider Business Mailing Address
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Address Line | 95 ARGONAUT 280
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4133
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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Authorized Official
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Title or Position | DR OF CHIROPRACTIC OWNER
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Name | DANIEL A MITSCHELE
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Credential | D.C.
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Telephone | 916-444-4446
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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 | DC23916
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License Number State | CA
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