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General NPI Number Information
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NPI Number | 1700104585
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Entity Type | Organization
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Legal Business Name | DR. PRICE CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 5336 FOUNTAIN AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1005
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Country | US
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Telephone | 323-467-5200
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Fax | 323-467-1952
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Provider Business Mailing Address
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Address Line | 5336 FOUNTAIN AVENUE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1005
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Country | US
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Telephone | 323-467-5200
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Fax | 323-467-1952
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | STEPHEN DON PRICE
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Credential | D.C.
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Telephone | 323-467-5200
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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 | DC15537
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License Number State | CA
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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 | DC12023
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License Number State | CA
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