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General NPI Number Information
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NPI Number | 1699893172
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Entity Type | Individual
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Provider Name | JESUS TORRES CANCINO DC
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 114 N INDIAN HILL BLVD STE G
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City | CLAREMONT
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State | CA
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Zip | 91711-4642
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Country | US
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Telephone | 909-630-5257
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Fax | 909-445-1488
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Provider Business Mailing Address
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Address Line | PO BOX 441
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City | CLAREMONT
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State | CA
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Zip | 91711-0441
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Country | US
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Telephone | 909-428-9034
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Fax | 909-445-1488
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC28436
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License Number State | CA
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