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General NPI Number Information
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NPI Number | 1710044920
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Entity Type | Organization
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Legal Business Name | WESTSIDE CHIROPRACTIC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 624 W CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92868-2819
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Country | US
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Telephone | 714-744-6074
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Fax | 714-744-1458
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Provider Business Mailing Address
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Address Line | 624 W CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92868-2819
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Country | US
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Telephone | 714-744-6074
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Fax | 714-744-1458
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. STEVEN KAUFMAN
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Credential |
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Telephone | 714-744-6074
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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 | DC23661
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License Number State | CA
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