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General NPI Number Information
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NPI Number | 1457541708
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Entity Type | Organization
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Legal Business Name | JOHN E. TRACHSEL A CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 14711 PRINCETON AVE. SUITE #13
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City | MOOPARK
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State | CA
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Zip | 93021
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Country | US
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Telephone | 805-523-1354
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Fax | 805-523-0597
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Provider Business Mailing Address
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Address Line | 14711 PRINCETON AVE. SUITE #13
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City | MOORPARK
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State | CA
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Zip | 93021
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Country | US
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Telephone | 805-523-1354
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Fax | 805-523-0597
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E TRACHSEL
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Credential | D.C.
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Telephone | 805-523-1354
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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 | DC24013
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License Number State | CA
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