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General NPI Number Information
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NPI Number | 1518154939
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Entity Type | Organization
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Legal Business Name | JASON A. COPPING CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 09/29/2007
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 4401 MANCHESTER AVE 202
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City | ENCINITAS
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State | CA
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Zip | 92024-4938
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Country | US
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Telephone | 760-436-4006
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Fax | 760-436-4007
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Provider Business Mailing Address
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Address Line | 4401 MANCHESTER AVE 202
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City | ENCINITAS
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State | CA
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Zip | 92024
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Country | US
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Telephone | 760-436-7999
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Fax | 760-436-3993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON COPPING
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Credential | D.C.
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Telephone | 760-436-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC27498
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC27409
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License Number State | CA
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