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General NPI Number Information
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NPI Number | 1851580781
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Entity Type | Organization
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Legal Business Name | FRESNO SPINE AND SPORT
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 7413 N. CEDAR AVENUE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-440-1811
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Fax | 559-440-1825
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Provider Business Mailing Address
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Address Line | 7413 N. CEDAR AVENUE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-440-1811
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Fax | 559-440-1825
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROBERT L. JONES
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Credential | D.C.
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Telephone | 559-440-1811
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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 | DC025148
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License Number State | CA
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Taxonomy #2
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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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