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General NPI Number Information
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NPI Number | 1801601075
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Entity Type | Individual
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Provider Name | RICHELLE MAE ARIETA BULDA DC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1145 E SAN ANTONIO DR
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City | LONG BEACH
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State | CA
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Zip | 90807-2379
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Country | US
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Telephone | 562-984-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 13517 BIOLA AVE
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City | LA MIRADA
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State | CA
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Zip | 90638-2956
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Country | US
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Telephone | 562-640-0730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 37144
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License Number State | CA
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