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General NPI Number Information
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NPI Number | 1710788757
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Entity Type | Individual
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Provider Name | CRISTIAN LEIGSRING QUIROA DC
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Gender | Male
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 6200 CANOGA AVE STE 105
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7793
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Country | US
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Telephone | 818-222-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 PETIT AVE APT 458
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City | VENTURA
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State | CA
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Zip | 93004-2677
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Country | US
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Telephone | 805-796-4494
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Fax |
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC37218
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License Number State | CA
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