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General NPI Number Information
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NPI Number | 1821946872
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Entity Type | Organization
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Legal Business Name | ACTIVE BODY CHIROPRACTIC HAWTHORNE
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 5001 W EL SEGUNDO BLVD STE A
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City | HAWTHORNE
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State | CA
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Zip | 90250-4156
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Country | US
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Telephone | 310-699-9299
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Fax | 310-494-0390
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Provider Business Mailing Address
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Address Line | 1732 AVIATION BLVD # 219
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2810
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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 | OWNER
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Name | JAMES HOGAN
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Credential | DC
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Telephone | 310-699-9299
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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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