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General NPI Number Information
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NPI Number | 1356472385
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Entity Type | Organization
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Legal Business Name | DUBYAK CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 3008 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95382-1117
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Country | US
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Telephone | 209-668-1944
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Fax | 209-668-4226
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Provider Business Mailing Address
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Address Line | 2445 GREENBORO ST
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City | TURLOCK
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State | CA
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Zip | 95382-1433
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Country | US
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Telephone | 209-634-6223
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ALLAN DUBYAK
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Credential | D.C.
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Telephone | 209-668-1944
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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 | 19104
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License Number State | CA
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