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General NPI Number Information
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NPI Number | 1518454065
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTHNET CENTER
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 13141 CENTURY BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1211
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Country | US
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Telephone | 714-643-9008
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Fax | 714-603-8966
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Provider Business Mailing Address
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Address Line | 13141 CENTURY BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1211
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Country | US
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Telephone | 714-643-9008
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Fax | 714-603-8966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THERESA B LE
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Credential | DC
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Telephone | 714-613-2434
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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 |
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 24469
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License Number State | CA
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