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General NPI Number Information
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NPI Number | 1770185290
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Entity Type | Organization
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Legal Business Name | ANDREW MILES CHIROPRACTIC
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 126 E ANAHEIM ST
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City | WILMINGTON
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State | CA
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Zip | 90744-4514
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Country | US
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Telephone | 310-737-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 126 E ANAHEIM ST
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City | WILMINGTON
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State | CA
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Zip | 90744-4514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW MILES
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Credential | DC
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Telephone | 626-991-9153
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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