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General NPI Number Information
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NPI Number | 1265609655
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Entity Type | Organization
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Legal Business Name | PAUL E. PETERS CHIROPRACTIC, INC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 529 CARLSBAD VILLAGE DR, #B
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City | CARLSBAD
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State | CA
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Zip | 92008-3031
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Country | US
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Telephone | 760-720-1537
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Fax | 760-734-1565
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Provider Business Mailing Address
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Address Line | PO BOX 1176
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City | CARDIFF
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State | CA
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Zip | 92007-7176
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Country | US
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Telephone | 760-720-1537
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Fax | 760-734-1565
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. PAUL E PETERS
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Credential | D.C.
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Telephone | 760-720-1537
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26796
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License Number State | CA
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