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General NPI Number Information
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NPI Number | 1629233796
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Entity Type | Organization
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Legal Business Name | CULLINS CHIROPRACTIC GROUP INC.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 220 S LYON AVE STE C
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City | HEMET
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State | CA
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Zip | 92543-3851
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Country | US
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Telephone | 951-925-7600
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Fax | 951-765-1744
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Provider Business Mailing Address
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Address Line | 220 S LYON AVE STE C
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City | HEMET
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State | CA
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Zip | 92543-3851
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Country | US
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Telephone | 951-925-7600
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Fax | 951-765-1744
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | DR. WILLIAM D. CULLINS
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Credential | CHIROPRACTOR
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Telephone | 951-925-7600
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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 | 13991
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License Number State | CA
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