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General NPI Number Information
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NPI Number | 1669461059
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Entity Type | Individual
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Provider Name | CHARLES F. WORTISKA D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 1405 COMMERCIAL WAY SUITE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0620
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Country | US
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Telephone | 661-327-4246
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Fax | 661-327-4022
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Provider Business Mailing Address
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Address Line | 11811 DELL RAPIDS CT
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City | BAKERSFIELD
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State | CA
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Zip | 93312-5716
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Country | US
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Telephone | 661-587-8061
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC0155770
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License Number State | CA
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