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General NPI Number Information
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NPI Number | 1790018695
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Entity Type | Organization
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Legal Business Name | WARREN CHIROPRACTIC HEALTH CENTER, A PROF CORP
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 10956 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3853
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Country | US
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Telephone | 714-963-0955
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Fax | 714-963-5775
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Provider Business Mailing Address
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Address Line | 17931 EUCLID ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5409
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Country | US
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Telephone | 714-963-0955
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Fax | 714-963-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN WARREN
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Credential | D.C.
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Telephone | 714-963-0955
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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 | DC22944
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT11954
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC22886
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License Number State | CA
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