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General NPI Number Information
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NPI Number | 1568966778
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Entity Type | Organization
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Legal Business Name | HOLT FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 6120 PASEO DEL NORTE STE O2
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City | CARLSBAD
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State | CA
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Zip | 92011-1149
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Country | US
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Telephone | 760-683-5942
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 PASEO DEL NORTE STE O2
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City | CARLSBAD
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State | CA
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Zip | 92011-1149
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Country | US
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Telephone | 760-683-5942
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | TYLER HOLT
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Credential | D.C.
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Telephone | 760-683-5942
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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 |
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License Number State |
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