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General NPI Number Information
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NPI Number | 1760843973
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Entity Type | Organization
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Legal Business Name | HARBOR PAIN RELIEF CENTER, INC.
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 3701 W MCFADDEN AVE STE E
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City | SANTA ANA
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State | CA
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Zip | 92704-1385
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Country | US
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Telephone | 714-531-8478
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Fax | 714-531-8475
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Provider Business Mailing Address
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Address Line | 3701 W MCFADDEN AVE STE E
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City | SANTA ANA
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State | CA
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Zip | 92704-1385
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Country | US
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Telephone | 714-531-8478
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Fax | 714-531-8475
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DUNG THANH NGUYEN
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Credential | DC
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Telephone | 714-531-8478
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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 | DC24534
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License Number State | CA
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