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General NPI Number Information
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NPI Number | 1114101953
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Entity Type | Organization
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Legal Business Name | DAVID AHRENS
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 629 CAMINO DE LOS MARES SUITE 104
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2829
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Country | US
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Telephone | 714-240-1334
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Fax | 949-240-4434
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Provider Business Mailing Address
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Address Line | 629 CAMINO DE LOS MARES SUITE 104
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2829
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Country | US
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Telephone | 714-240-1334
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Fax | 949-240-4434
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Authorized Official
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Title or Position | DAVID AHRENS/CHIROPRACTOR
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Name | DR. DAVID AHRENS
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Credential | D.C.
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Telephone | 714-240-1334
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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 | DC15856
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License Number State | CA
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