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General NPI Number Information
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NPI Number | 1366565285
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Entity Type | Organization
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Legal Business Name | LIBS CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 4410 LAMONT ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-4515
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Country | US
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Telephone | 858-483-8500
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Fax | 858-272-0054
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Provider Business Mailing Address
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Address Line | 4410 LAMONT ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-4515
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Country | US
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Telephone | 858-483-8500
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Fax | 858-272-0054
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAVID E LIBS
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Credential | D.C.
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Telephone | 858-483-8500
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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 |
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