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General NPI Number Information
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NPI Number | 1194899500
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Entity Type | Organization
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Legal Business Name | PIRANIO KNEPP CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 5252 BALBOA AVE STE 901
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City | SAN DIEGO
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State | CA
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Zip | 92117-6917
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Country | US
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Telephone | 858-560-5022
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Fax | 858-560-8092
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Provider Business Mailing Address
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Address Line | 5252 BALBOA AVE SUITE 901
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City | SAN DIEGO
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State | CA
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Zip | 92117-6917
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Country | US
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Telephone | 858-560-5022
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Fax | 858-560-8092
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Authorized Official
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Title or Position | CFO
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Name | DAVID ANDREW KNEPP
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Credential | DC
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Telephone | 858-560-5022
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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 | DC25584
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License Number State | CA
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