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General NPI Number Information
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NPI Number | 1760292338
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Entity Type | Individual
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Provider Name | SHAYLA HARTZ
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 32909 TEMECULA PKWY STE 106
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City | TEMECULA
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State | CA
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Zip | 92592-6907
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Country | US
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Telephone | 951-216-3739
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Fax |
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Provider Business Mailing Address
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Address Line | 835 SEAGULL LN APT CS-302
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-6041
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Country | US
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Telephone |
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Fax |
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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 | DC36883
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License Number State | CA
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