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NPI 1962253898

NPI 1962253898 : JONATHAN AKI DC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1962253898
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    Entity Type          |    Individual 
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    Provider Name        |    JONATHAN AKI DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2024
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    Last Update Date     |    03/28/2024
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Provider Practice Location Address
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    Address Line         |    5230 CARROLL CANYON RD STE 204 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92121-1780
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    Country              |    US
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    Telephone            |    858-453-0366
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6522 AMBROSIA DR APT 5208 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92124-3136
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    Country              |    US
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    Telephone            |    661-350-3001
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    DC36871
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    License Number State |    CA
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