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General NPI Number Information
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NPI Number | 1477588895
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Entity Type | Individual
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Provider Name | JOSEPH LAWRENCE LENNON DC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 3687 LAS POSAS RD STE 185
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City | CAMARILLO
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State | CA
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Zip | 93010-1431
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Country | US
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Telephone | 805-484-1990
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Fax | 805-388-8773
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Provider Business Mailing Address
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Address Line | 3801 LAS POSAS RD SUITE 114
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City | CAMARILLO
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State | CA
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Zip | 93010-1427
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Country | US
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Telephone | 895-482-4193
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Fax | 805-832-6187
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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 | 17519
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 006296
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License Number State | MO
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