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General NPI Number Information
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NPI Number | 1679990782
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Entity Type | Organization
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Legal Business Name | JAGTAR S DHESI DC A CHIROPRACTIC CORP
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 947 BLUEBELL DR
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City | LIVERMORE
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State | CA
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Zip | 94551-5319
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Country | US
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Telephone | 925-606-6373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 657
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City | SAN RAMON
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State | CA
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Zip | 94583-0657
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Country | US
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Telephone | 925-606-6373
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Fax | 925-606-6680
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JAGTAR S DHESI
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Credential | DC ACHIROPRACTICCORP
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Telephone | 925-606-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | DC27413
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License Number State | CA
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