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General NPI Number Information
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NPI Number | 1801354683
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Entity Type | Organization
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Legal Business Name | EMARD CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 41230 11TH ST W STE B
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City | PALMDALE
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State | CA
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Zip | 93551-1411
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Country | US
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Telephone | 661-949-1741
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Fax |
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Provider Business Mailing Address
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Address Line | 41230 11TH ST W STE B
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City | PALMDALE
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State | CA
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Zip | 93551-1411
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Country | US
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Telephone | 661-949-1741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL EMARD
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Credential | DC
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Telephone | 661-949-1741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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