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General NPI Number Information
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NPI Number | 1518645928
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Entity Type | Organization
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Legal Business Name | CYNTHIA ALCARAZ DC A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 770 FAIRMONT AVE STE 102
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City | GLENDALE
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State | CA
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Zip | 91203-1067
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Country | US
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Telephone | 323-662-2891
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Fax |
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Provider Business Mailing Address
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Address Line | 13867 JUDD ST
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City | PACOIMA
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State | CA
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Zip | 91331-3635
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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 | CYNTHIA ALCARAZ
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Credential | DC
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Telephone | 818-277-9372
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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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