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General NPI Number Information
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NPI Number | 1962959460
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Entity Type | Organization
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Legal Business Name | HEALING ARTS CHIROPRACTIC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 187 40TH STREET WAY
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City | OAKLAND
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State | CA
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Zip | 94611
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Country | US
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Telephone | 510-356-7832
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Fax | 513-350-8552
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Provider Business Mailing Address
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Address Line | 187 40TH STREET WAY
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City | OAKLAND
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State | CA
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Zip | 94611
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Country | US
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Telephone | 510-356-7832
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Fax | 513-350-8552
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. KATIE ANN SOKOLSKI
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Credential | D.C
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Telephone | 510-356-7832
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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 | DC30847
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License Number State | CA
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