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General NPI Number Information
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NPI Number | 1790407849
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Entity Type | Organization
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Legal Business Name | INTERO CHIROPRACTIC, A HSIEH CORPORATION B
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1390 WILLOW PASS RD STE 190
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City | CONCORD
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State | CA
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Zip | 94520-7935
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Country | US
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Telephone | 925-448-9418
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 OWENS DR
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City | PLEASANTON
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State | CA
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Zip | 94588-3341
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Country | US
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Telephone | 925-255-5805
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Fax | 925-369-0330
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRY W HSIEH
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Credential | DC
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Telephone | 714-657-5288
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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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