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General NPI Number Information
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NPI Number | 1770935520
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Entity Type | Organization
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Legal Business Name | MERRITT CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 20161 WISTERIA ST APT 6
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4161
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Country | US
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Telephone | 925-272-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 OMEGA RD STE C
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City | SAN RAMON
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State | CA
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Zip | 94583-1295
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Country | US
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Telephone | 925-272-0963
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MERRITT
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Credential |
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Telephone | 925-272-0963
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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 | DC33525
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License Number State | CA
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