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General NPI Number Information
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NPI Number | 1629366794
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Entity Type | Organization
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Legal Business Name | ANDERSON CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 10585 SCRIPPS POWAY PKWY SUITE C
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City | SAN DIEGO
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State | CA
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Zip | 92131-3922
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Country | US
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Telephone | 858-549-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 10585 SCRIPPS POWAY PKWY SUITE C
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City | SAN DIEGO
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State | CA
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Zip | 92131-3922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID P ANDERSON
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Credential | DC
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Telephone | 858-538-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC20105
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License Number State | CA
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