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General NPI Number Information
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NPI Number | 1073713434
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Entity Type | Organization
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Legal Business Name | DEBOARD & GOVETT, DOCTORS OF CHIROPRACTIC, A PROFESSIONAL CORPORATION.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 2943 4TH ST
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City | CERES
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State | CA
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Zip | 95307-3222
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Country | US
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Telephone | 209-537-5068
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Fax | 209-537-9187
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Provider Business Mailing Address
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Address Line | 2943 4TH ST.
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City | CERES
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State | CA
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Zip | 95307
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Country | US
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Telephone | 209-537-5068
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Fax | 209-537-9087
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. RAYMOND ALLAN GOVETT
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Credential | DC
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Telephone | 209-537-5068
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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 | DC0107740
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | DC0107830
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC0107830
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0107830
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License Number State | CA
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