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General NPI Number Information
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NPI Number | 1982425625
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Entity Type | Organization
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Legal Business Name | GIDEON CHEN CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 20709 GOLDEN SPRINGS DR STE 104
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City | WALNUT
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State | CA
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Zip | 91789-3847
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Country | US
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Telephone | 626-333-8777
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Fax | 626-333-7727
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Provider Business Mailing Address
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Address Line | 20709 GOLDEN SPRINGS DR STE 105
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City | WALNUT
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State | CA
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Zip | 91789-3847
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Country | US
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Telephone | 626-333-8777
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Fax | 626-333-7727
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | GIDEON CHEN
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Credential | DC
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Telephone | 626-333-8877
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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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