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General NPI Number Information
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NPI Number | 1598181935
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Entity Type | Organization
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Legal Business Name | EMBRACE HEALING AND WELLNESS
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE SUITE 312
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 424-273-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 10731 LAWLER ST APT. 4
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City | LOS ANGELES
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State | CA
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Zip | 90034-5460
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Country | US
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Telephone | 814-573-6821
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ACUPUNCTURIST
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Name | DR. CAROL LEANN ALONGE
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Credential | D.C., L.AC.,
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Telephone | 814-573-6821
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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 | 32564
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License Number State | CA
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