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General NPI Number Information
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NPI Number | 1437680410
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Entity Type | Organization
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Legal Business Name | ROSENTHAL CHIROPRACTIC HEALTH
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 558 SAINT CHARLES DR SUITE 203
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3903
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Country | US
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Telephone | 805-402-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 558 SAINT CHARLES DR SUITE 203
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3903
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Country | US
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Telephone | 805-402-7576
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN D ROSENTHAL
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Credential | DC
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Telephone | 805-402-7576
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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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