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General NPI Number Information
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NPI Number | 1174066468
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Entity Type | Organization
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Legal Business Name | STYLER ENTERPRISES A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 44847 PORTOLA AVE STE B
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City | PALM DESERT
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State | CA
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Zip | 92260-3703
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Country | US
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Telephone | 760-340-4157
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Fax | 888-636-9047
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Provider Business Mailing Address
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Address Line | 44847 PORTOLA AVE STE B
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City | PALM DESERT
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State | CA
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Zip | 92260-3703
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Country | US
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Telephone | 760-340-4157
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Fax | 888-636-9047
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | RICHARD L STYLER
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Credential | D.C.
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Telephone | 760-340-4157
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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 | DC20417
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License Number State | CA
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