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General NPI Number Information
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NPI Number | 1609123983
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Entity Type | Organization
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Legal Business Name | LIDIA ALZATE DC A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 916 W BURBANK BLVD SUITE L
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City | BURBANK
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State | CA
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Zip | 91506-1400
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Country | US
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Telephone | 818-842-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 916 W BURBANK BLVD SUITE L
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City | BURBANK
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State | CA
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Zip | 91506-1400
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Country | US
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Telephone | 818-842-7700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIDIA ALZATE
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Credential | D.C.
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Telephone | 818-842-7700
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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 | 32309
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License Number State | CA
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