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General NPI Number Information
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NPI Number | 1326212028
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Entity Type | Organization
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Legal Business Name | NEWBOLD CHIROPRACTIC APC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 455 AVENIDA ALHAMBRA
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City | EL GRANADA
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State | CA
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Zip | 94018
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Country | US
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Telephone | 650-726-3300
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Fax | 650-726-3388
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Provider Business Mailing Address
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Address Line | PO BOX 327
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City | EL GRANADA
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State | CA
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Zip | 94018-0327
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Country | US
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Telephone | 650-726-3300
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Fax | 650-726-3388
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NANCY J NEWBOLD
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Credential | D.C.
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Telephone | 650-726-3300
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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 | DC0153330
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License Number State | CA
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