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General NPI Number Information
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NPI Number | 1255520185
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Entity Type | Organization
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Legal Business Name | CAL SPORTS HEALTH CENTER
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1833 S LA CIENEGA BLVD 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90035-4662
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Country | US
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Telephone | 310-558-9328
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Fax | 310-558-9316
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Provider Business Mailing Address
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Address Line | PO BOX 35484
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City | LOS ANGELES
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State | CA
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Zip | 90035-0484
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Country | US
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Telephone | 310-558-9328
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Fax | 310-558-9316
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Authorized Official
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Title or Position | OWNER
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Name | ADAM SVERDLIN
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Credential | DC
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Telephone | 310-558-9328
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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 | DC26250
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License Number State | CA
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