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General NPI Number Information
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NPI Number | 1336179050
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Entity Type | Organization
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Legal Business Name | RINGDAHL CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 665 N TUSTIN ST SUITE # L
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City | ORANGE
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State | CA
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Zip | 92867-7146
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Country | US
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Telephone | 714-771-0777
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Fax | 714-771-0044
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Provider Business Mailing Address
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Address Line | 665 N TUSTIN ST SUITE # L
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City | ORANGE
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State | CA
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Zip | 92867-7146
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Country | US
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Telephone | 714-771-0777
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Fax | 714-771-0044
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. DAVID RINGDAHL
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Credential | D.C.
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Telephone | 714-771-0777
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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 | DC26583
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License Number State | CA
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