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General NPI Number Information
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NPI Number | 1881764322
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 16200 E AMBER VALLEY DRIVE
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City | WHITTIER
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State | CA
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Zip | 90604
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Country | US
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Telephone | 562-947-8755
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Fax | 562-902-3332
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Provider Business Mailing Address
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Address Line | 16200 E AMBER VALLEY DRIVE
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City | WHITTIER
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State | CA
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Zip | 90604
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Country | US
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Telephone | 562-947-8755
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Fax | 562-902-3332
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | MELISSA ANNE NAGARE
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Credential |
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Telephone | 562-947-3386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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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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