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General NPI Number Information
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NPI Number | 1568906279
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Entity Type | Organization
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Legal Business Name | JD NEAL PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 9449 BALBOA AVE SUITE 105
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City | SAN DIEGO
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State | CA
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Zip | 92123-4335
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Country | US
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Telephone | 858-569-4545
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Fax | 858-569-4546
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Provider Business Mailing Address
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Address Line | 9449 BALBOA AVE SUITE 105
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City | SAN DIEGO
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State | CA
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Zip | 92123-4335
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Country | US
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Telephone | 858-569-4545
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Fax | 858-569-4546
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Authorized Official
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Title or Position | OWNER
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Name | JAMES D NEAL III
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Credential | DC
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Telephone | 619-318-3458
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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 | DC30591
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License Number State | CA
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