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General NPI Number Information
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NPI Number | 1790190866
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Entity Type | Organization
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Legal Business Name | WARD CHIROPRACTIC
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 433 CALLAN AVE STE 104
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4643
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Country | US
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Telephone | 510-352-3535
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Fax | 510-352-3659
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Provider Business Mailing Address
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Address Line | 433 CALLAN AVE STE 104
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4643
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Country | US
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Telephone | 510-352-3535
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Fax | 510-352-3659
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. CINDY R WARD
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Credential | DC
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Telephone | 510-352-3535
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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 | DC26941
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License Number State | CA
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