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General NPI Number Information
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NPI Number | 1649720368
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Entity Type | Organization
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Legal Business Name | BELLEFEUILLE CHIROPRACTIC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 1602 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2520
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Country | US
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Telephone | 805-722-9719
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Fax | 888-399-7912
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Provider Business Mailing Address
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Address Line | 1602 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2520
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Country | US
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Telephone | 805-722-9719
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Fax | 888-399-7912
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JUSTINE MARIE BELLEFEUILLE
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Credential | D.C.
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Telephone | 805-722-9719
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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 | 33514
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License Number State | CA
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