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General NPI Number Information
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NPI Number | 1760718019
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Entity Type | Organization
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Legal Business Name | COMPLETE CHIROPRACTIC HEALTHCARE
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Dates
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Enumeration Date | 10/21/2009
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 4165 BLACKHAWK PLAZA CIR SUITE 250
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City | DANVILLE
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State | CA
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Zip | 94506-4904
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Country | US
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Telephone | 925-321-4668
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Fax | 925-886-4897
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Provider Business Mailing Address
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Address Line | PO BOX 5100
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City | PLEASANTON
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State | CA
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Zip | 94566-0600
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Country | US
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Telephone | 925-321-4668
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Fax | 925-886-4897
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREG ARNOLD
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Credential | DC, CSCS
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Telephone | 925-321-4668
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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 | DC29442
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License Number State | CA
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