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General NPI Number Information
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NPI Number | 1710346598
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Entity Type | Organization
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Legal Business Name | DONIA CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 1455 W PARK AVE SUITE A
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City | REDLANDS
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State | CA
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Zip | 92373-8178
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Country | US
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Telephone | 909-793-2225
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Fax | 909-793-2221
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Provider Business Mailing Address
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Address Line | 1455 W PARK AVE SUITE A
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City | REDLANDS
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State | CA
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Zip | 92373-8178
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Country | US
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Telephone | 909-793-2225
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Fax | 909-793-2221
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL S DONIA
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Credential | D.C.
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Telephone | 909-793-2225
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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 | DC28061
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License Number State | CA
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