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General NPI Number Information
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NPI Number | 1720208127
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Entity Type | Individual
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Provider Name | BETTY J CIUCHTA D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 4101 E 4TH ST
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City | LONG BEACH
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State | CA
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Zip | 90814-2847
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Country | US
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Telephone | 562-434-7260
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Fax | 562-433-5058
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Provider Business Mailing Address
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Address Line | 4101 E 4TH ST
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City | LONG BEACH
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State | CA
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Zip | 90814-2847
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Country | US
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Telephone | 562-434-7260
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Fax | 562-433-5058
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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 | DC14568
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License Number State | CA
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