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General NPI Number Information
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NPI Number | 1285688275
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Entity Type | Organization
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Legal Business Name | LOUIS WILLIAMS CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 29645 RANCHO CALIFORNIA RD STE 218
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City | TEMECULA
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State | CA
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Zip | 92591-5285
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Country | US
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Telephone | 951-676-4080
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Fax | 951-676-9086
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Provider Business Mailing Address
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Address Line | 29645 RANCHO CALIFORNIA RD STE 218
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City | TEMECULA
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State | CA
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Zip | 92591-5285
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Country | US
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Telephone | 951-676-4080
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Fax | 951-676-4080
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | DR. LOUIS J WILLIAMS
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Credential | D.C.
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Telephone | 951-676-4080
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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 | DC25999
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License Number State | CA
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