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General NPI Number Information
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NPI Number | 1093864704
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Entity Type | Organization
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Legal Business Name | KALSBEEK CHIROPRACTIC INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 21168 REDWOOD RD STE 100
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5932
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Country | US
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Telephone | 510-582-4880
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Fax | 510-582-5408
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Provider Business Mailing Address
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Address Line | 21168 REDWOOD RD STE 100
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5932
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Country | US
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Telephone | 510-582-4880
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Fax | 510-582-5408
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN A KALSBEEK
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Credential | DC
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Telephone | 510-582-4880
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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 | DC 10567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 11753
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License Number State | CA
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