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General NPI Number Information
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NPI Number | 1588709323
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Entity Type | Organization
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Legal Business Name | DR. KENNETH FELCH CHIROPRACTIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 644 FREMONT AVE
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City | LOS ALTOS
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State | CA
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Zip | 94024-4812
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Country | US
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Telephone | 650-948-8900
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Fax | 650-948-8827
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Provider Business Mailing Address
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Address Line | 644 FREMONT AVE
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City | LOS ALTOS
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State | CA
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Zip | 94024-4812
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Country | US
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Telephone | 650-948-8900
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Fax | 650-948-8827
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH WILLIAM FELCH
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Credential | D.C.
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Telephone | 650-948-8900
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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 | DC28786
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License Number State | CA
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