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General NPI Number Information
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NPI Number | 1750562815
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Entity Type | Individual
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Provider Name | PETER CASTANEDA D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 10625 HALEDON AVE
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City | DOWNEY
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State | CA
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Zip | 90241-2812
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Country | US
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Telephone | 213-200-8470
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Fax | 562-923-5000
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Provider Business Mailing Address
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Address Line | 10625 HALEDON AVE
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City | DOWNEY
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State | CA
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Zip | 90241-2812
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Country | US
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Telephone | 213-200-8470
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Fax | 562-923-5000
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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 | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | DC20544
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License Number State | CA
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