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General NPI Number Information
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NPI Number | 1730737099
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Entity Type | Organization
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Legal Business Name | ADAM CHIROPRACTIC & WELLNESS CENTER INC.
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 2049 PACIFIC COAST HWY STE 101
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City | LOMITA
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State | CA
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Zip | 90717-2658
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Country | US
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Telephone | 310-530-7335
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Fax | 310-530-3681
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Provider Business Mailing Address
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Address Line | 2049 PACIFIC COAST HWY STE 101
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City | LOMITA
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State | CA
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Zip | 90717-2658
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Country | US
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Telephone | 310-530-7335
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Fax | 310-530-3681
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT DANIEL ADAM
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Credential | DC
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Telephone | 310-530-7335
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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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