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General NPI Number Information
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NPI Number | 1477693687
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Entity Type | Organization
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Legal Business Name | EDWIN L WARD D C INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 15718 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1518
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Country | US
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Telephone | 626-968-6772
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Fax | 626-330-6766
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Provider Business Mailing Address
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Address Line | 15718 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1518
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Country | US
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Telephone | 626-968-6772
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Fax | 626-330-6766
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LOURDES DELGADO
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Credential |
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Telephone | 626-333-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | C1065236
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License Number State | CA
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