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General NPI Number Information
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NPI Number | 1548793920
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Entity Type | Organization
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Legal Business Name | HARBOR CHIROPRACTIC, INC., A BAHAN COMPANY
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 5301 WHITTIER BLVD, ATRIUM LOWER LEVEL
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City | LOS ANGELES
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State | CA
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Zip | 90022
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Country | US
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Telephone | 714-276-2300
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Fax | 714-276-2380
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Provider Business Mailing Address
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Address Line | 23 OBISPO
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3171
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Country | US
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Telephone | 949-525-3550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH BAHAN
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Credential | D.C.
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Telephone | 714-276-2300
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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 | 20506
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License Number State | CA
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