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General NPI Number Information
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NPI Number | 1144352519
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Entity Type | Organization
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Legal Business Name | RON SCHMIDT CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 406 MISSION ST STE A
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City | SANTA CRUZ
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State | CA
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Zip | 95060-3748
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Country | US
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Telephone | 831-426-0609
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Fax | 831-426-4854
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Provider Business Mailing Address
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Address Line | 406 MISSION ST STE A
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City | SANTA CRUZ
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State | CA
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Zip | 95060-3748
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Country | US
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Telephone | 831-426-0609
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Fax | 831-426-4854
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Authorized Official
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Title or Position | DR OF CHIROPRACTIC OWNER
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Name | RON SCHMIDT
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Credential | D.C.
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Telephone | 831-426-0609
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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 | DC17814
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License Number State | CA
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