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General NPI Number Information
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NPI Number | 1902507213
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Entity Type | Organization
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Legal Business Name | AMSTUTZ CHIROPRACTIC, PC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 2072 ORCHARD DR STE C
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-0785
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Country | US
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Telephone | 949-465-0770
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Fax | 949-298-5612
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Provider Business Mailing Address
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Address Line | 2072 ORCHARD DR STE C
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-0785
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Country | US
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Telephone | 949-465-0770
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Fax | 949-298-5612
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Authorized Official
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Title or Position | OWNER
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Name | JASON AMSTUTZ
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Credential | DC, CCSP, RTP, CSCS
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Telephone | 949-465-0770
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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 |
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License Number State |
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