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General NPI Number Information
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NPI Number | 1346524659
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Entity Type | Organization
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Legal Business Name | BEN SHAMOIEL CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK EAST, SUITE 503
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City | LOS ANGELES
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State | CA
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Zip | 90067
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Country | US
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Telephone | 310-435-8899
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Fax | 310-478-7605
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK EAST, SUITE 503
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City | LOS ANGELES
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State | CA
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Zip | 90067
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Country | US
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Telephone | 310-435-8899
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Fax | 310-478-7605
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. PAUL ROTHWELL
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Credential |
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Telephone | 604-760-1579
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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 | 1234
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License Number State | CA
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