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General NPI Number Information
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NPI Number | 1841177573
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Entity Type | Organization
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Legal Business Name | RIVERSIDE CHIROPRACTIC CENTER MAK PC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3657 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-4249
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Country | US
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Telephone | 951-906-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 3657 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-4249
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Country | US
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Telephone | 951-906-0101
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHUN KEUNG MAK
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Credential | DC
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Telephone | 562-895-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number |
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License Number State |
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