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General NPI Number Information
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NPI Number | 1427733641
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Entity Type | Organization
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Legal Business Name | DON PHAM, CORPORATION
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 302 N MONTGOMERY ST
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City | OJAI
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State | CA
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Zip | 93023-2746
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Country | US
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Telephone | 805-646-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 302 N MONTGOMERY ST
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City | OJAI
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State | CA
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Zip | 93023-2746
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Country | US
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Telephone | 805-646-9355
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Fax |
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Authorized Official
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Title or Position | CTO
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Name | CHERYL ANDERS
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Credential |
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Telephone | 805-646-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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