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General NPI Number Information
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NPI Number | 1720140106
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Entity Type | Organization
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Legal Business Name | SAMS CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 5151 MURPHY CANYON RD #200
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City | SAN DIEGO
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State | CA
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Zip | 92123-4440
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Country | US
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Telephone | 858-569-6959
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Fax | 858-569-0240
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Provider Business Mailing Address
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Address Line | 5151 MURPHY CANYON RD. #200
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City | SAN DIEGO
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State | CALIFORNIA
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Zip | 92123
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Country | UM
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Telephone | 858-569-6959
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Fax | 858-569-0240
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | DR. BARON ASHLEY SAMS
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Credential | DC
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Telephone | 858-569-0959
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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 | 12045
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License Number State | CA
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