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General NPI Number Information
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NPI Number | 1730609538
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CHIROPRACTIC-DR PAMELA'S WELLNESS CENTER
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 428 N L ST
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City | LIVERMORE
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State | CA
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Zip | 94551-2806
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Country | US
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Telephone | 925-960-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 428 N L ST
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City | LIVERMORE
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State | CA
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Zip | 94551-2806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAMELA LYNN CHUMBEIRO
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Credential | DC
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Telephone | 925-200-6775
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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 | DC23710
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License Number State | CA
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