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General NPI Number Information
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NPI Number | 1407981079
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Entity Type | Individual
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Provider Name | CHANTAL RUSSELL D.C., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 10793 TIERRASANTA BLVD STE A
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City | SAN DIEGO
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State | CA
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Zip | 92124-2629
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Country | US
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Telephone | 858-573-1505
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Fax |
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Provider Business Mailing Address
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Address Line | 10793 TIERRASANTA BLVD STE A
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City | SAN DIEGO
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State | CA
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Zip | 92124-2629
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Country | US
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Telephone | 858-573-1505
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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 | DC29891
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC11156
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License Number State | CA
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