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General NPI Number Information
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NPI Number | 1922101476
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Entity Type | Organization
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Legal Business Name | ANGELOTTI CHIROPRACTIC, INC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 20315 VENTURA BLVD SUITE A
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City | WOODLAND HILLS
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State | CA
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Zip | 91364
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Country | US
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Telephone | 818-340-0089
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Fax | 818-340-6985
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Provider Business Mailing Address
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Address Line | 20315 VENTURA BLVD SUITE A
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2449
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Country | US
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Telephone | 818-340-0089
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Fax | 818-340-6985
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Authorized Official
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Title or Position | OWNER /DOCTOR OF CHIROPRACTIC
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Name | DR. ANDREW MOONEY
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Credential | D.C.
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Telephone | 818-340-0089
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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 | DC22274
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License Number State | CA
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