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NPI 1598033789

NPI 1598033789 : STEVE ROSS D.C. : COMMERCE, CA

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General NPI Number Information
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    NPI Number           |    1598033789
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE ROSS D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/02/2011
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    Last Update Date     |    12/02/2011
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Provider Practice Location Address
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    Address Line         |    2476 SOUTH ATLANTIC BLVD. 
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    City                 |    COMMERCE
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    State                |    CA
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    Zip                  |    90040-1263
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    Country              |    US
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    Telephone            |    323-780-1650
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    Fax                  |    323-780-8625
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Provider Business Mailing Address
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    Address Line         |    2476 S ATLANTIC BLVD 
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    City                 |    COMMERCE
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    State                |    CA
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    Zip                  |    90040-1263
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    Country              |    US
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    Telephone            |    323-780-1650
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    Fax                  |    323-780-8625
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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       |    23482
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    License Number State |    CA
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