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General NPI Number Information
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NPI Number | 1811135320
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Entity Type | Organization
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Legal Business Name | DOWNTOWN WELLNESS A CALIFORNIA MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 2901 F ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1819
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Country | US
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Telephone | 661-374-4949
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Fax | 661-374-4997
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Provider Business Mailing Address
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Address Line | 2901 F ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1819
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Country | US
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Telephone | 661-374-4949
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Fax | 661-374-4997
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Authorized Official
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Title or Position | SEC/TREAS
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Name | CHRISTOPHER ROBERTS
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Credential | MD
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Telephone | 661-374-4949
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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 | 20884
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A89666
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License Number State | CA
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