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General NPI Number Information
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NPI Number | 1992094080
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Entity Type | Organization
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Legal Business Name | MATTHEW C JORDIN DC CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 721 W WHITTIER BLVD SUITE C
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City | LA HABRA
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State | CA
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Zip | 90631-3759
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Country | US
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Telephone | 562-905-3434
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Fax | 562-905-2626
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Provider Business Mailing Address
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Address Line | 721 W WHITTIER BLVD SUITE C
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City | LA HABRA
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State | CA
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Zip | 90631-3759
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Country | US
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Telephone | 562-905-3434
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Fax | 562-905-2626
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW C JORDIN
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Credential | DC
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Telephone | 562-905-3434
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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 | DC27613
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License Number State | CA
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