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NPI 1174974075

NPI 1174974075 : LOZANO CHIROPRACTIC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1174974075
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOZANO CHIROPRACTIC 
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Dates
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    Enumeration Date     |    06/22/2016
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    Last Update Date     |    06/24/2016
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Provider Practice Location Address
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    Address Line         |    9500 BRIMHALL RD SUITE 704
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-2232
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    Country              |    US
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    Telephone            |    661-829-2008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9500 BRIMHALL RD SUITE 704
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-2232
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    Country              |    US
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    Telephone            |    661-829-2008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR/OWNER
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    Name                 |     DAVID JONATHAN LOZANO 
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    Credential           |    D.C.
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    Telephone            |    661-829-2008
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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       |    
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    License Number State |    
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