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General NPI Number Information
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NPI Number | 1720758592
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Entity Type | Organization
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Legal Business Name | HAMPTON FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 1200 N SAN DIMAS CANYON RD STE 1200
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City | SAN DIMAS
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State | CA
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Zip | 91773-1223
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Country | US
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Telephone | 909-971-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 632 E PAYSON ST
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City | SAN DIMAS
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State | CA
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Zip | 91773-2228
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Country | US
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Telephone | 909-971-7317
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXIA MICHELLE HAMPTON
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Credential | D.C.
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Telephone | 909-971-7317
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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 |
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License Number State |
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