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General NPI Number Information
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NPI Number | 1225042880
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Entity Type | Individual
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Provider Name | JOHN B DE LEMOS D C
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 21704 GOLDEN TRIANGLE RD STE 104
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City | SANTA CLARITA
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State | CA
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Zip | 91350-5833
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Country | US
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Telephone | 661-222-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 24394 MIRA VISTA ST
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City | VALENCIA
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State | CA
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Zip | 91355-6036
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Country | US
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Telephone | 661-993-3839
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Fax | 661-259-1870
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC24329
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License Number State | CA
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