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General NPI Number Information
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NPI Number | 1750387882
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Entity Type | Individual
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Provider Name | ANDREW ZANE WEST DOCTOR OF CHIROPRACT
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 90 W. HWY 246 #1
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City | BUELLTON
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State | CA
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Zip | 93427
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Country | US
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Telephone | 805-688-5545
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Fax | 805-688-5676
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Provider Business Mailing Address
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Address Line | P.O. BOX 1294 90 W. HWY 246 #1
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City | BUELLTON
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State | CA
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Zip | 93427
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Country | US
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Telephone | 805-688-5545
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Fax | 805-688-5676
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC-28761
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC28761
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License Number State | CA
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