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General NPI Number Information
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NPI Number | 1609135102
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Entity Type | Organization
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Legal Business Name | ALLEN C. KANG'S CHIROPRACTIC DC INC
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 3925 ROSEMEAD BLVD SUITE 202
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City | ROSEMEAD
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State | CA
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Zip | 91770-1933
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Country | US
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Telephone | 626-307-0287
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Fax | 626-307-0475
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Provider Business Mailing Address
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Address Line | 3925 ROSEMEAD BLVD SUITE 202
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City | ROSEMEAD
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State | CA
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Zip | 91770-1933
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Country | US
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Telephone | 626-307-0287
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Fax | 626-307-0475
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Authorized Official
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Title or Position | CEO
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Name | DR. ALLEN CHEN-EN KANG
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Credential | D.C.
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Telephone | 626-307-0287
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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 | DC 32217
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License Number State | CA
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