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General NPI Number Information
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NPI Number | 1700150307
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Entity Type | Organization
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Legal Business Name | RICHARD SAYEGH A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 131 E HUNTINGTON DR
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City | ARCADIA
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State | CA
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Zip | 91006-3212
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Country | US
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Telephone | 626-445-0326
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Fax | 626-445-5155
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Provider Business Mailing Address
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Address Line | 131 E HUNTINGTON DR
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City | ARCADIA
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State | CA
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Zip | 91006-3212
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Country | US
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Telephone | 626-445-0326
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Fax | 626-445-5155
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD SAYEGH
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Credential | DC
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Telephone | 626-445-0326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 17812
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License Number State | CA
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