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General NPI Number Information
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NPI Number | 1861759557
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Entity Type | Organization
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Legal Business Name | TATSUNO CHIROPRACITC INC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 3900 TRUXTUN AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0600
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Country | US
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Telephone | 661-322-6021
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Fax | 661-322-9313
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Provider Business Mailing Address
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Address Line | PO BOX 9399
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City | BAKERSFIELD
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State | CA
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Zip | 93389-9399
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Country | US
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Telephone | 661-322-6021
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Fax | 661-322-9313
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | DR. GEORGE T TATSUNO
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Credential | D.C.
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Telephone | 661-322-6021
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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 | DC0122950
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License Number State | CA
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