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General NPI Number Information
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NPI Number | 1730468497
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Entity Type | Organization
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Legal Business Name | ANAHEIM INJURY CENTER
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 2500 W LINCOLN AVE SUITE 3
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City | ANAHEIM
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State | CA
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Zip | 92801-6421
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Country | US
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Telephone | 714-828-9235
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Fax | 714-828-9592
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Provider Business Mailing Address
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Address Line | 2500 W LINCOLN AVE SUITE 3
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City | ANAHEIM
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State | CA
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Zip | 92801-6421
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Country | US
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Telephone | 714-828-9235
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Fax | 714-828-9592
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Authorized Official
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Title or Position | CHIROPRACTOR/CO-OWNER
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Name | MR. JOHN TRAN
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Credential | D.C.
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Telephone | 714-828-9235
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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 | DC28186
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License Number State | CA
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