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General NPI Number Information
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NPI Number | 1700073970
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Entity Type | Organization
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Legal Business Name | VINCENT G ADAMO CHIROPRACTIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 820 JAMACHA RD #103
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City | EL CAJON
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State | CA
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Zip | 92019-3205
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Country | US
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Telephone | 619-579-1068
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Fax | 619-579-5014
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Provider Business Mailing Address
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Address Line | 15550 ROCKFIELD BLVD B220
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City | IRVINE
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State | CA
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Zip | 92618-2720
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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Authorized Official
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Title or Position | OWNER / PRESIDENT / PROVIDER
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Name | VINCENT G ADAMO
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Credential | D.C.
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Telephone | 619-579-1068
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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 | DC21212
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License Number State | CA
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