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General NPI Number Information
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NPI Number | 1699234559
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Entity Type | Organization
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Legal Business Name | SKALA CHIROPRACTIC INC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 4413 SIERRA DEL SOL
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City | PARADISE
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State | CA
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Zip | 95969
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Country | US
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Telephone | 510-657-6366
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Fax | 510-657-3849
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | PARADISE
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State | CA
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Zip | 95967-2379
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Country | US
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Telephone | 510-657-6366
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Fax | 510-657-3849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD K SKALA
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Credential | DC
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Telephone | 510-657-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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