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General NPI Number Information
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NPI Number | 1609094168
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Entity Type | Organization
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Legal Business Name | R. ADAMS CHIROPRACTIC INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 171 S KRAEMER BLVD STE D3
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City | BREA
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State | CA
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Zip | 92821-4678
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Country | US
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Telephone | 714-529-6165
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Fax | 714-529-3821
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Provider Business Mailing Address
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Address Line | 171 S KRAEMER BLVD STE D3
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City | BREA
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State | CA
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Zip | 92821-4678
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Country | US
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Telephone | 714-529-6165
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Fax | 714-529-3821
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MR. RICHARD LEE ADAMS
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Credential | DC
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Telephone | 714-529-6165
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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 | DC26264
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License Number State | CA
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