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General NPI Number Information
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NPI Number | 1801285143
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Entity Type | Organization
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Legal Business Name | AYALA CHIROPRACTIC INC APC
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 370 N. LANTANA ST. SUITE 17
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City | CAMARILLO
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State | CA
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Zip | 93010-3444
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Country | US
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Telephone | 805-384-8443
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Fax | 805-833-6890
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Provider Business Mailing Address
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Address Line | 370 N. LANTANA ST. SUITE 17
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City | CAMARILLO
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State | CA
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Zip | 93010-3444
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Country | US
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Telephone | 805-384-8443
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Fax | 805-833-6890
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON MATTHEW AYALA
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Credential | D.C.
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Telephone | 805-384-8443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 32381
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License Number State | CA
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