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General NPI Number Information
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NPI Number | 1538479100
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Entity Type | Organization
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Legal Business Name | BIRD CHIROPRACTIC CLINICS
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 8036 3RD, ST. SUITE 103
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-658-7956
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Fax | 800-828-9183
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Provider Business Mailing Address
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Address Line | 8036 3RD, ST. SUITE 103
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-658-7956
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Fax | 800-828-9183
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. JOEL WALTER BIRD
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Credential | D.C.
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Telephone | 562-658-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | DC24994
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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 | DC24994
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License Number State | CA
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