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General NPI Number Information
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NPI Number | 1831766401
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Entity Type | Organization
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Legal Business Name | BIGNONE CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 213 S PACIFIC COAST HWY
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3353
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Country | US
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Telephone | 310-402-2463
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Fax |
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Provider Business Mailing Address
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Address Line | 213 S PACIFIC COAST HWY
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3353
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Country | US
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Telephone | 310-402-2463
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER/DC
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Name | DR. DIEGO BIGNONE
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Credential | DC
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Telephone | 310-629-6995
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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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