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General NPI Number Information
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NPI Number | 1346796729
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Entity Type | Organization
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Legal Business Name | THORBURN CHIROPRACTIC & WELLNESS CENTER INC.
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 1612 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1311
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Country | US
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Telephone | 818-841-1313
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Fax | 818-841-3340
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Provider Business Mailing Address
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Address Line | 1612 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1311
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Country | US
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Telephone | 818-841-1313
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Fax | 818-841-3340
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. CHARLENE BEDDARD THORBURN
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Credential | D.C., R.N.
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Telephone | 818-841-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC12296
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License Number State | CA
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