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General NPI Number Information
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NPI Number | 1831912294
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Entity Type | Organization
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Legal Business Name | GUIRGES CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 3333 CONCOURS STE 4201
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City | ONTARIO
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State | CA
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Zip | 91764-6565
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Country | US
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Telephone | 909-667-1699
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 CONCOURS STE 4201
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City | ONTARIO
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State | CA
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Zip | 91764-6565
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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 | CEO
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Name | DR. LYDIA GUIRGES
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Credential | DC
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Telephone | 909-667-1699
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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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