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General NPI Number Information
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NPI Number | 1689727927
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Entity Type | Organization
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Legal Business Name | ELIZABETH SWIDA-SKILLEN DC A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 263 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-795-7711
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Fax | 626-795-2145
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Provider Business Mailing Address
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Address Line | 263 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-795-7711
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Fax | 626-795-2145
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH SWIDA-SKILLEN
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Credential | DC
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Telephone | 626-795-7711
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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 | DC13886
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License Number State | CA
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