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General NPI Number Information
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NPI Number | 1558962514
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Entity Type | Organization
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Legal Business Name | DOBSON CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 587 5TH ST W
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City | SONOMA
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State | CA
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Zip | 95476-6831
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Country | US
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Telephone | 707-935-1006
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Fax | 707-935-7291
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Provider Business Mailing Address
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Address Line | 587 5TH ST W
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City | SONOMA
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State | CA
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Zip | 95476-6831
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Country | US
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Telephone | 707-935-1006
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Fax | 707-935-7291
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Authorized Official
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Title or Position | OWNER
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Name | DR. GRANT MICHAEL DOBSON
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Credential | DC
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Telephone | 707-935-1006
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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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