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General NPI Number Information
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NPI Number | 1285891515
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Entity Type | Individual
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Provider Name | PATRICK WILLIAM SLAVENSKY D.C., R EPT, CNIM
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Gender | Male
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 1111 EXPOSITION BLVD SUITE 500B
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City | SACRAMENTO
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State | CA
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Zip | 95815-4314
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Country | US
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Telephone | 916-296-0873
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 EXPOSITION BLVD SUITE 500B
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City | SACRAMENTO
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State | CA
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Zip | 95815-4314
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Country | US
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Telephone | 916-296-0873
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC16524
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License Number State | CA
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