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General NPI Number Information
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NPI Number | 1871628644
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Entity Type | Organization
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Legal Business Name | UNITED CHIROPRACTIC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6661 STANFORD RANCH RD SUITE G
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City | ROCKLIN
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State | CA
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Zip | 95677-2683
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Country | US
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Telephone | 916-632-3211
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Fax | 916-632-7194
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Provider Business Mailing Address
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Address Line | 6661 STANFORD RANCH RD SUITE G
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City | ROCKLIN
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State | CA
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Zip | 95677-2683
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Country | US
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Telephone | 916-632-3211
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Fax | 916-632-7194
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONALD BRENT FREEMAN
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Credential | D.C., Q.M.E.
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Telephone | 916-632-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC24808
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License Number State | CA
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