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General NPI Number Information
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NPI Number | 1326133836
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Entity Type | Individual
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Provider Name | CAROLYN KENNEDY TODD D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 867 WAVE ST SUITE 210
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City | MONTEREY
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State | CA
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Zip | 93940-1054
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Country | US
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Telephone | 831-644-9900
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Fax | 831-644-9900
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Provider Business Mailing Address
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Address Line | 417 GROVE ACRE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950
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Country | US
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Telephone | 831-373-3934
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 18370
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License Number State | CA
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