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General NPI Number Information
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NPI Number | 1760530018
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Entity Type | Organization
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Legal Business Name | SLUSHER CHIROPRACTIC LIFE CENTER INC.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1182 SE BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92707-5302
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Country | US
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Telephone | 714-546-5433
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Fax | 714-546-8616
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Provider Business Mailing Address
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Address Line | 1182 SE BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92707-5302
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Country | US
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Telephone | 714-546-5433
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Fax | 714-546-8616
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JAMES R. SLUSHER
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Credential | D.C.
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Telephone | 714-546-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC12058
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License Number State | CA
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