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General NPI Number Information
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NPI Number | 1366749640
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Entity Type | Individual
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Provider Name | DANIEL HARRISON BRONSTEIN DC
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Gender | Male
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/16/2025
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Provider Practice Location Address
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Address Line | 902 W GRAND AVE
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City | GROVER BEACH
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State | CA
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Zip | 93433-2136
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Country | US
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Telephone | 805-481-1566
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Fax | 805-481-5281
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Provider Business Mailing Address
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Address Line | 902 W GRAND AVE
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City | GROVER BEACH
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State | CA
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Zip | 93433-2136
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Country | US
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Telephone | 805-481-1566
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Fax | 805-481-5281
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31915
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License Number State | CA
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