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General NPI Number Information
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NPI Number | 1831758267
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Entity Type | Organization
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Legal Business Name | ANDRADE CRUZ CHIROPRACTIC CORP
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 1070 CONCORD AVE # 175
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City | CONCORD
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State | CA
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Zip | 94520-5699
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Country | US
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Telephone | 925-375-1903
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Fax |
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Provider Business Mailing Address
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Address Line | 1070 CONCORD AVE # 175
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City | CONCORD
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State | CA
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Zip | 94520-5699
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Country | US
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Telephone | 925-375-1903
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | GLORIA Z ANDRADE-CRUZ
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Credential | DC
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Telephone | 925-375-1903
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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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