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General NPI Number Information
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NPI Number | 1093878274
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Entity Type | Organization
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Legal Business Name | BYBYK CHIROPRACTIC INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 24663 MONROE AVE. SUITE #101
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 951-677-7343
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Fax | 951-677-7163
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Provider Business Mailing Address
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Address Line | 24663 MONROE AVE. SUITE #101
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City | MURRIETA
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State | CA
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Zip | 92562
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Country | US
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Telephone | 951-677-7343
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Fax | 951-677-7163
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYNN BYBYK
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Credential | D.C.
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Telephone | 951-677-7343
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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 | DC21914
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License Number State | CA
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