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General NPI Number Information
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NPI Number | 1962608802
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Entity Type | Organization
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Legal Business Name | DR GEORGE K REESE PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2859 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92104
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Country | US
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Telephone | 619-688-0080
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Fax | 619-688-9550
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Provider Business Mailing Address
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Address Line | 2859 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92104
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Country | US
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Telephone | 619-688-0080
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Fax | 619-688-9550
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE K REESE
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Credential | CHIROPRACTOR DC
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Telephone | 619-688-0080
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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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