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General NPI Number Information
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NPI Number | 1760620744
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Entity Type | Organization
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Legal Business Name | ANGELL CHIROPRACTIC & WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 1300 QUAIL ST SUITE 106
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2729
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Country | US
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Telephone | 949-554-3341
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Fax | 949-706-1624
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Provider Business Mailing Address
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Address Line | 1300 QUAIL ST SUITE 106
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2729
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Country | US
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Telephone | 949-554-3341
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Fax | 949-706-1624
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JENNIFER A ANGELL
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Credential | DC
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Telephone | 949-338-5564
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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 | DC30172
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License Number State | CA
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