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General NPI Number Information
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NPI Number | 1588610836
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Entity Type | Organization
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Legal Business Name | PAMELA J GALAMBOS, CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 2664 NEWPORT BLVD
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City | COSTA MESA
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State | CA
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Zip | 92627-4641
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Country | US
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Telephone | 949-631-5226
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Fax | 949-631-8538
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Provider Business Mailing Address
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Address Line | 2664 NEWPORT BLVD
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City | COSTA MESA
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State | CA
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Zip | 92627-4641
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Country | US
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Telephone | 949-631-5226
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Fax | 949-631-8538
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Authorized Official
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Title or Position | CEO DOCTOR OF CHIROPRACTIC
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Name | DR. PAMELA J GALAMBOS
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Credential | D.C.
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Telephone | 949-631-5226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | DC28373
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License Number State | CA
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