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General NPI Number Information
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NPI Number | 1174604615
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Entity Type | Organization
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Legal Business Name | DELSON CHIROPRACTIC INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 1453 3RD STREET PROMENADE SUITE 470
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City | SANTA MONICA
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State | CA
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Zip | 90401-2397
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Country | US
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Telephone | 310-899-6050
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Fax | 310-899-6051
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Provider Business Mailing Address
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Address Line | 1453 3RD STREET PROMENADE SUITE 470
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City | SANTA MONICA
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State | CA
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Zip | 90401-2397
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Country | US
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Telephone | 310-899-6050
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Fax | 310-899-6051
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSHUA MARLIN DELSON
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Credential | D.C.
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Telephone | 310-899-6050
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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 | 28305
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License Number State | CA
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