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General NPI Number Information
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NPI Number | 1235809815
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Entity Type | Individual
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Provider Name | NOE LUM CHIROPRACTOR
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Gender | Male
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 11506 TELEGRAPH RD STE 214
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3100
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Country | US
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Telephone | 323-693-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 S GREENWOOD AVE APT 12
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City | MONTEBELLO
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State | CA
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Zip | 90640-6359
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Country | US
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Telephone | 213-324-8497
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Fax |
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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 | 35025
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License Number State | CA
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