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General NPI Number Information
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NPI Number | 1811126725
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH PLAN OF CALIFORNIA, INC.
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 5356 CLAYTON RD STE 201
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City | CONCORD
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State | CA
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Zip | 94521-3200
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Country | US
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Telephone | 925-844-3100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | CLAYTON
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State | CA
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Zip | 94517-0190
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Country | US
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Telephone | 925-844-3100
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TODD CATALDO
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Credential |
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Telephone | 925-844-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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