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General NPI Number Information
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NPI Number | 1194110577
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Entity Type | Organization
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Legal Business Name | OUTCALL CHIRO INC
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 1326 N SCREENLAND DR UNIT C
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City | BURBANK
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State | CA
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Zip | 91505-2241
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Country | US
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Telephone | 541-868-5251
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 N SCREENLAND DR UNIT C
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City | BURBANK
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State | CA
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Zip | 91505-2241
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Country | US
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Telephone | 541-868-5251
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Fax |
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | MR. RYAN J CHAPMAN
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Credential | DC, CMT
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Telephone | 541-868-5251
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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 | 33236
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License Number State | CA
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