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General NPI Number Information
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NPI Number | 1770916009
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Entity Type | Organization
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Legal Business Name | LARSEN CHIROPRACTIC & REHABILITATION PC
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 212 LINCOLN WAY
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City | AUBURN
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State | CA
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Zip | 95603-4336
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Country | US
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Telephone | 408-482-6396
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Fax | 530-885-7586
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Provider Business Mailing Address
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Address Line | 212 LINCOLN WAY
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City | AUBURN
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State | CA
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Zip | 95603-4336
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Country | US
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Telephone | 408-482-6396
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Fax | 530-885-7586
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | DR. BRIAN SCOTT LARSEN
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Credential | DC
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Telephone | 530-885-4447
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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 | DC31211
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License Number State | CA
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