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General NPI Number Information
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NPI Number | 1255413795
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALTH ENHANCEMENT AND
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 881 ALMA REAL DR STE 211
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-3748
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Country | US
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Telephone | 310-454-0060
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Fax | 310-454-0065
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Provider Business Mailing Address
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Address Line | 881 ALMA REAL DR STE 211
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-3748
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Country | US
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Telephone | 310-454-0060
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Fax | 310-454-0065
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID V POWERS
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Credential | P.T.
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Telephone | 310-454-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | PT8927
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License Number State | CA
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