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General NPI Number Information
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NPI Number | 1053431528
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Entity Type | Individual
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Provider Name | PAUL DWIGHT ANDING D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2950 HONOLULU AVE
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3929
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Country | US
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Telephone | 818-249-6192
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Fax | 818-249-6478
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Provider Business Mailing Address
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Address Line | 15520 ROCKFIELD BLVD A200
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City | IRVINE
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State | CA
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Zip | 92618-6705
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | P0396184
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License Number State | CA
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