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General NPI Number Information
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NPI Number | 1740322866
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Entity Type | Organization
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Legal Business Name | SIDNEY BEAN CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 1754 36TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-6613
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Country | US
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Telephone | 916-475-1263
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Fax | 916-475-1863
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Provider Business Mailing Address
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Address Line | 1754 36TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-6613
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Country | US
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Telephone | 916-475-1263
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Fax | 916-475-1863
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIDNEY B. BEAN
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Credential | D.C.
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Telephone | 916-475-1263
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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 | DC28342
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License Number State | CA
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