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General NPI Number Information
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NPI Number | 1659260602
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Entity Type | Organization
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Legal Business Name | GAUTHIER FAMILY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3737 CAMINO DEL RIO S STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92108-4007
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Country | US
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Telephone | 760-703-2086
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Fax |
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Provider Business Mailing Address
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Address Line | 9289 VILLAGE GLEN DR UNIT 121
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City | SAN DIEGO
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State | CA
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Zip | 92123-2488
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JULIE GAUTHIER
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Credential | DC
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Telephone | 760-703-2086
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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 |
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License Number State |
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