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General NPI Number Information
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NPI Number | 1881800977
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 N EL MOLINO AVE STE 140
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City | PASADENA
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State | CA
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Zip | 91101-1873
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Country | US
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Telephone | 626-793-9915
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Fax | 626-793-4654
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Provider Business Mailing Address
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Address Line | 131 N EL MOLINO AVE STE 140
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City | PASADENA
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State | CA
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Zip | 91101-1873
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Country | US
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Telephone | 626-793-9915
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Fax | 626-793-4654
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SETH K MITTLEMAN
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Credential | D.C.
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Telephone | 626-793-9915
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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 | DC22562
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License Number State | CA
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