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General NPI Number Information
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NPI Number | 1225361595
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Entity Type | Organization
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Legal Business Name | DR. KENGEE EHRLICH CHIROPRACTIC INC.
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 11945 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-2706
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Country | US
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Telephone | 310-479-1166
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Fax | 310-496-0229
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Provider Business Mailing Address
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Address Line | 11945 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-2706
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Country | US
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Telephone | 310-479-1166
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Fax | 310-496-0229
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEN GEE EHRLICH
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Credential |
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Telephone | 310-479-1166
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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 | DC27050
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License Number State | CA
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