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General NPI Number Information
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NPI Number | 1922245075
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOPAEDIC MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 41680 IVY ST SUITE A
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City | MURRIETA
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State | CA
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Zip | 92562-9434
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Country | US
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Telephone | 951-600-1879
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Fax | 951-600-1126
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Provider Business Mailing Address
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Address Line | 41680 IVY ST SUITE A
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City | MURRIETA
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State | CA
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Zip | 92562-9434
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Country | US
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Telephone | 951-600-1879
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Fax | 951-600-1126
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Authorized Official
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Title or Position | CHIROPRACTOR/CEO
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Name | DR. CHRISTOPHER THAN TRONG NUYEN ARMSTRONG
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Credential | D.C.
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Telephone | 951-600-1879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC22101
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License Number State | CA
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