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General NPI Number Information
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NPI Number | 1013089143
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Entity Type | Organization
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Legal Business Name | GOLDSTEIN CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 19350 BUSINESS CENTER DR SUITE 103
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3500
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Country | US
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Telephone | 818-993-3668
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Fax | 818-993-0759
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Provider Business Mailing Address
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Address Line | 19350 BUSINESS CENTER DR SUITE 103
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3500
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Country | US
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Telephone | 818-993-3668
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Fax | 818-993-0759
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Authorized Official
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Title or Position | OWNER
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Name | DR. SETH D GOLDSTEIN
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Credential | DC
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Telephone | 818-993-3668
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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 | DC14378
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License Number State | CA
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