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NPI 1932347788

NPI 1932347788 : CASERMA CHIROPRACTIC, INC. : EL CAJON, CA

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General NPI Number Information
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    NPI Number           |    1932347788
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    Entity Type          |    Organization 
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    Legal Business Name  |    CASERMA CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    02/02/2009
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    Last Update Date     |    02/02/2009
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Provider Practice Location Address
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    Address Line         |    13727 CAMINO CANADA SUITE A4
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92021-8847
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    Country              |    US
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    Telephone            |    619-938-1800
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    Fax                  |    619-938-1888
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Provider Business Mailing Address
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    Address Line         |    13727 CAMINO CANADA SUITE A4
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92021-8847
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    Country              |    US
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    Telephone            |    619-938-1800
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    Fax                  |    619-938-1888
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |    DR. GINA CATHLEEN CASERMA 
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    Credential           |    DC
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    Telephone            |    619-938-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    DC24308
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    License Number State |    CA
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