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General NPI Number Information
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NPI Number | 1679959100
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Entity Type | Organization
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Legal Business Name | MILTON O'BRIEN CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 301 FELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5146
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Country | US
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Telephone | 415-525-4364
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Fax |
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Provider Business Mailing Address
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Address Line | 301 FELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5146
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Country | US
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Telephone | 415-525-4364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MILTON O'BRIEN
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Credential | DC
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Telephone | 415-525-5364
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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 | DC0166550
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License Number State | CA
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