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General NPI Number Information
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NPI Number | 1942973920
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Entity Type | Organization
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Legal Business Name | ERIK JAMESON CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 1175 N MAIN ST
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City | LAKEPORT
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State | CA
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Zip | 95453-3858
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Country | US
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Telephone | 707-263-3124
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Fax | 707-263-3125
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Provider Business Mailing Address
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Address Line | 1455 N MAIN ST
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City | LAKEPORT
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State | CA
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Zip | 95453-3846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIK JAMESON
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Credential | DC
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Telephone | 707-349-5066
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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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