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General NPI Number Information
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NPI Number | 1366779589
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Entity Type | Individual
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Provider Name | BRETT E. UNDERWOOD D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 3000 E BIRCH ST STE 110
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City | BREA
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State | CA
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Zip | 92821-6261
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Country | US
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Telephone | 714-588-6404
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Fax |
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Provider Business Mailing Address
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Address Line | 690 OAKHAVEN AVE
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City | BREA
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State | CA
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Zip | 92823-6331
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Country | US
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Telephone | 714-588-6404
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Fax |
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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 | 31420
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License Number State | CA
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