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General NPI Number Information
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NPI Number | 1992719553
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Entity Type | Organization
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Legal Business Name | CLARENCE HUNTER CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1222 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91106-1842
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Country | US
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Telephone | 323-791-2598
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Fax | 626-578-9718
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Provider Business Mailing Address
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Address Line | 2437 HARWOOD ST 1222 E. COLORADO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90031-1239
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Country | US
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Telephone | 323-791-2598
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Fax | 626-578-9718
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLARENCE ALEXANDER HUNTER III
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Credential | D.C.
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Telephone | 323-791-2598
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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 | DC 28679
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License Number State | CA
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