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General NPI Number Information
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NPI Number | 1174700892
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Entity Type | Organization
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Legal Business Name | JAMES G SCHOCH DC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 29050 S WESTERN AVE STE 153
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0883
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Country | US
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Telephone | 310-519-8877
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Fax | 310-519-8290
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Provider Business Mailing Address
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Address Line | 29050 S WESTERN AVE STE 153
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0883
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Country | US
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Telephone | 310-519-8877
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Fax | 310-519-8290
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Authorized Official
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Title or Position | OWNER
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Name | JAMES GILBERT SCHOCH
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Credential | DC
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Telephone | 310-519-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 13675
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License Number State | CA
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