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General NPI Number Information
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NPI Number | 1821245374
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Entity Type | Individual
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Provider Name | JOEL ADIV LEVITZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 380 MOBIL AVE STE 218-E
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City | CAMARILLO
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State | CA
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Zip | 93010-6311
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Country | US
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Telephone | 805-312-6439
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Fax | 805-832-6176
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Provider Business Mailing Address
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Address Line | PO BOX 1856
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City | CAMARILLO
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State | CA
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Zip | 93011-1856
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Country | US
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Telephone | 805-312-6439
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Fax | 805-832-6176
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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 | 30992
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License Number State | CA
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