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General NPI Number Information
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NPI Number | 1083998207
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Entity Type | Organization
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Legal Business Name | DIEHL CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 2900 TOWNSGATE RD SUITE 212
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone | 805-496-1000
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Fax | 805-496-1011
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Provider Business Mailing Address
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Address Line | 2900 TOWNSGATE RD SUITE 212
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone | 805-496-1000
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Fax | 805-496-1011
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID W DIEHL
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Credential | D.C.
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Telephone | 805-496-1000
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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 | DC25686
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License Number State | CA
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