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General NPI Number Information
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NPI Number | 1346348695
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Entity Type | Organization
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Legal Business Name | RM WIRTHLIN DC A CHIROPRACTIC CORP
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5905 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683
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Country | US
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Telephone | 714-897-1645
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Fax | 714-893-0541
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Provider Business Mailing Address
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Address Line | 5905 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683
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Country | US
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Telephone | 714-897-1645
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Fax | 714-893-0541
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT MICHAEL WIRTHLIN
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Credential | DC
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Telephone | 714-897-1645
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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 |
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License Number State | CA
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