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General NPI Number Information
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NPI Number | 1710062260
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Entity Type | Individual
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Provider Name | JORGE ANTONIO ARANIBAR D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 931 SAN BRUNO AVE W RM 7
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City | SAN BRUNO
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State | CA
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Zip | 94066-3435
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Country | US
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Telephone | 650-225-0540
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Fax | 650-225-0510
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Provider Business Mailing Address
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Address Line | 1119 SUNNYSIDE DR
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1363
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Country | US
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Telephone | 650-580-1706
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Fax | 650-225-0510
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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 | DC29421
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License Number State | CA
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