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General NPI Number Information
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NPI Number | 1609315944
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Entity Type | Organization
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Legal Business Name | REFORM CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 10345 LAKEWOOD BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-2743
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Country | US
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Telephone | 562-287-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 3208 BUDLEIGH DR
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6405
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Country | US
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Telephone | 626-374-2302
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. DANIEL SANCHEZ
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Credential | D.C.
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Telephone | 626-374-2302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 33626
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 33626
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 33626
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33626
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License Number State | CA
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