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NPI 1598994576

NPI 1598994576 : RAMER SANTA MONICA CHIROPRACTIC CLINIC INC : SANTA MONICA, CA

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General NPI Number Information
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    NPI Number           |    1598994576
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAMER SANTA MONICA CHIROPRACTIC CLINIC INC 
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Dates
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    Enumeration Date     |    07/10/2009
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    Last Update Date     |    07/10/2009
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Provider Practice Location Address
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    Address Line         |    201 WILSHIRE BLVD STE A35
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90401-1212
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    Country              |    US
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    Telephone            |    310-255-0411
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 WILSHIRE BLVD STE A35
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90401-1212
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    Country              |    US
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    Telephone            |    310-255-0411
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CE)
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    Name                 |    DR. PAMELA H. RAMER 
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    Credential           |    D.C.
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    Telephone            |    310-255-0411
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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       |    DC30066
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    License Number State |    CA
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