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General NPI Number Information
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NPI Number | 1073857264
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Entity Type | Organization
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Legal Business Name | JAMES ELLIOTT MYERSON
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 11/12/2012
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Provider Practice Location Address
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Address Line | 10229 ROSECRANS AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2601
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Country | US
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Telephone | 562-866-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 76002
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City | ANAHEIM
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State | CA
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Zip | 92809-7602
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Country | US
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Telephone | 562-866-3333
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JAMES ELLIOTT MYERSON
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Credential | D.C.
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Telephone | 562-866-3333
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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 | DC21617
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License Number State | CA
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