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General NPI Number Information
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NPI Number | 1164687257
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Entity Type | Organization
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Legal Business Name | BUECHEL CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 4535 FANUEL ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-2904
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Country | US
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Telephone | 858-866-6688
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Fax | 868-866-5644
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Provider Business Mailing Address
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Address Line | 4535 FANUEL ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-2904
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Country | US
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Telephone | 858-866-6688
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Fax | 868-866-5644
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. ELAINE LOPEZ
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Credential |
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Telephone | 858-866-6688
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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 | DC26017
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License Number State | CA
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