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General NPI Number Information
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NPI Number | 1467664102
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Entity Type | Organization
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Legal Business Name | EDWARD P. OLFF CHIROPRACTIC INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 5665 N BLACKSTONE AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93710-5000
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Country | US
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Telephone | 559-449-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 N BLACKSTONE AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93710-5000
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Country | US
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Telephone | 559-449-9777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD P OLFF
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Credential | CHIROPRACTOR
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Telephone | 559-449-9777
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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 | DC18575
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License Number State | CA
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