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General NPI Number Information
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NPI Number | 1518017052
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Entity Type | Organization
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Legal Business Name | BALLARD CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15517 DEVONSHIRE ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-2620
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Country | US
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Telephone | 818-830-7491
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Fax | 818-830-7463
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Provider Business Mailing Address
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Address Line | 15517 DEVONSHIRE ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-2620
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Country | US
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Telephone | 818-830-7491
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Fax | 818-830-7463
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID JOSEPH BALLARD
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Credential | CHIROPRACTOR
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Telephone | 818-830-7491
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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 | DC22250
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License Number State | CA
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