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General NPI Number Information
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NPI Number | 1699128942
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Entity Type | Organization
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Legal Business Name | CAD MEDICAL SERVICES
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 5042 WILSHIRE BLVD 23774
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City | LOS ANGELES
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State | CA
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Zip | 90036-4305
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Country | US
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Telephone | 213-375-3737
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Fax | 213-634-1177
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Provider Business Mailing Address
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Address Line | 5042 WILSHIRE BLVD 23774
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City | LOS ANGELES
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State | CA
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Zip | 90036-4305
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Country | US
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Telephone | 213-375-3737
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Fax | 213-634-1177
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Authorized Official
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Title or Position | PARTNER
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Name | MR. CHAD STEVEN NEISWONGER
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Credential |
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Telephone | 213-797-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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