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General NPI Number Information
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NPI Number | 1881720365
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Entity Type | Organization
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Legal Business Name | NAVE CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8977 FOOTHILL BLVD #D
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3498
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Country | US
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Telephone | 909-989-0944
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Fax | 909-980-9669
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Provider Business Mailing Address
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Address Line | 8977 FOOTHILL BLVD #D
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3498
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Country | US
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Telephone | 909-989-0944
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Fax | 909-980-9669
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE M NAVE
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Credential | DC
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Telephone | 909-989-0944
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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 | DC15672
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License Number State | CA
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