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General NPI Number Information
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NPI Number | 1760133110
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Entity Type | Organization
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Legal Business Name | MONDEGARI AND COHEN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 100 PIERRE RD STE A
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City | WALNUT
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State | CA
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Zip | 91789-2565
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Country | US
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Telephone | 909-999-0051
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Fax | 909-954-5111
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Provider Business Mailing Address
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Address Line | 100 PIERRE RD STE A
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City | WALNUT
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State | CA
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Zip | 91789-2565
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Country | US
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Telephone | 909-999-0051
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Fax | 909-954-5111
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KAMRAN MONDEGARI
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Credential | D.C
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Telephone | 925-876-6390
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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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