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General NPI Number Information
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NPI Number | 1083837850
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Entity Type | Individual
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Provider Name | CAREN R. GRISHAM D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6331 GREENLEAF AVE SUITE G
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City | WHITTIER
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State | CA
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Zip | 90601-3553
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Country | US
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Telephone | 562-400-6955
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Fax |
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Provider Business Mailing Address
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Address Line | 5206 JAVALAMBRE DR
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City | WHITTIER
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State | CA
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Zip | 90601-2234
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Country | US
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Telephone | 562-699-9515
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Fax |
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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 | 20203
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License Number State | CA
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