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General NPI Number Information
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NPI Number | 1801200365
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Entity Type | Organization
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Legal Business Name | DAN DU CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 18232 GALE AVE
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1242
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Country | US
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Telephone | 626-221-9202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5515
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City | DIAMOND BAR
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State | CA
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Zip | 91765-7515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DANNY DU
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Credential | D.C.
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Telephone | 626-221-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | DC32678
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License Number State | CA
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