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General NPI Number Information
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NPI Number | 1700221926
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Entity Type | Organization
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Legal Business Name | SORENSEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 1095 STAFFORD WAY STE C
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City | YUBA CITY
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State | CA
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Zip | 95991-3333
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Country | US
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Telephone | 530-671-4616
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Fax | 530-671-6062
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Provider Business Mailing Address
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Address Line | 1650 SIERRA AVE SUITE 201
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City | YUBA CITY
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State | CA
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Zip | 95993-8986
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Country | US
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Telephone | 530-671-4616
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Fax | 530-671-6062
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. F SCOTT SORENSEN
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Credential | DC
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Telephone | 530-671-4616
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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 | 19599
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License Number State | CA
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