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General NPI Number Information
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NPI Number | 1326266131
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Entity Type | Organization
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Legal Business Name | ELIZABETH SWIDA SKILLEN, DC, A CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4550 COFFEE RD SUITE H
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5023
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Country | US
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Telephone | 661-587-0700
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Fax | 661-587-0799
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Provider Business Mailing Address
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Address Line | 4550 COFFEE RD SUITE H
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5023
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Country | US
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Telephone | 661-587-0700
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Fax | 661-587-0799
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | ELIZABETH SWIDA SKILLEN
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Credential | DC
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Telephone | 661-587-0700
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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 | DC13886
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License Number State | CA
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