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General NPI Number Information
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NPI Number | 1659596294
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CHIROPRACTIC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 1835 N BEALE RD SUITE B
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City | MARYSVILLE
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State | CA
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Zip | 95901-6912
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Country | US
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Telephone | 530-742-0466
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Fax | 530-742-0478
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Provider Business Mailing Address
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Address Line | 1835 N BEALE RD SUITE B
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City | MARYSVILLE
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State | CA
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Zip | 95901-6912
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Country | US
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Telephone | 530-742-0466
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Fax | 530-742-0478
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Authorized Official
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Title or Position | CHIROPRACTOR ASSISTANT
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Name | MR. DAO JOE YANG
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Credential |
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Telephone | 530-742-0466
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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 | DC26829
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License Number State | CA
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