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General NPI Number Information
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NPI Number | 1285185041
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Entity Type | Organization
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Legal Business Name | LANIER CHIROPRACTIC, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 23412 MOULTON PKWY 100
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1732
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Country | US
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Telephone | 949-770-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 23412 MOULTON PKWY
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1732
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Country | US
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Telephone | 949-770-6096
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TIMOTHY DAVID LANIER
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Credential | D.C.
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Telephone | 214-395-7851
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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 | 33282
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License Number State | CA
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