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General NPI Number Information
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NPI Number | 1619253416
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Entity Type | Organization
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Legal Business Name | STUDLEY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 1831 I ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-3003
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Country | US
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Telephone | 916-551-1545
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Fax | 916-551-1546
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Provider Business Mailing Address
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Address Line | 1831 I ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-3003
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Country | US
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Telephone | 916-551-1545
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Fax | 916-551-1546
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHIP CHRISTOPHER STUDLEY
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Credential | D.C.
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Telephone | 916-551-1545
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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 | DC30190
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License Number State | CA
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