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General NPI Number Information
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NPI Number | 1699627968
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Entity Type | Organization
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Legal Business Name | CEJA EVOLUTION CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7007 REALM DR STE B4
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City | SAN JOSE
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State | CA
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Zip | 95119-1312
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Country | US
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Telephone | 408-614-0143
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Fax |
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Provider Business Mailing Address
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Address Line | 1683 SUNNYHILLS DR
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City | MILPITAS
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State | CA
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Zip | 95035-2740
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Country | US
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Telephone | 408-886-1066
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE GEORGE
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Credential | DC
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Telephone | 408-886-1066
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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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