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NPI 1639227911

NPI 1639227911 : WILLIAM J. WELCH, DC, INC. : BUENA PARK, CA

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General NPI Number Information
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    NPI Number           |    1639227911
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM J. WELCH, DC, INC. 
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Dates
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    Enumeration Date     |    01/05/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    6888 LINCOLN AVE SUITE J2
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    City                 |    BUENA PARK
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    State                |    CA
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    Zip                  |    90620-4107
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    Country              |    US
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    Telephone            |    714-828-2865
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    Fax                  |    714-828-0165
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Provider Business Mailing Address
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    Address Line         |    6888 LINCOLN AVE SUITE J2
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    City                 |    BUENA PARK
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    State                |    CA
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    Zip                  |    90620-4107
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    Country              |    US
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    Telephone            |    714-828-2865
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    Fax                  |    714-828-0165
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WILLIAM JAMES WELCH 
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    Credential           |    DC
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    Telephone            |    714-828-2865
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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       |    DC24662
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    License Number State |    CA
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