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General NPI Number Information
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NPI Number | 1568974905
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Entity Type | Individual
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Provider Name | ROGER G ALONSO DC
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Gender | Male
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 28901 S WESTERN AVE STE 225
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0824
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Country | US
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Telephone | 949-432-1449
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Fax |
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Provider Business Mailing Address
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Address Line | 10634 SPY GLASS HILL RD
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City | WHITTIER
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State | CA
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Zip | 90601-1924
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Country | US
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Telephone | 949-432-1449
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 33929
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License Number State | CA
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