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General NPI Number Information
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NPI Number | 1568501807
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Entity Type | Organization
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Legal Business Name | VITKOFF CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 396 TOWNSEND ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1607
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Country | US
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Telephone | 415-781-1131
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Fax | 415-781-2108
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Provider Business Mailing Address
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Address Line | 396 TOWNSEND ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1607
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Country | US
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Telephone | 415-781-1131
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Fax | 415-781-2108
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | ELAN VITKOFF
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Credential | D.C.
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Telephone | 415-781-1131
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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 | DC13703
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License Number State | CA
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