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General NPI Number Information
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NPI Number | 1841309572
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Entity Type | Organization
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Legal Business Name | BERLIN & WITTENBERG CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6221 WILSHIRE BLVD SUITE 518
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City | LOS ANGELES
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State | CA
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Zip | 90048-5201
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Country | US
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Telephone | 323-549-0070
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Fax | 323-549-0440
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Provider Business Mailing Address
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Address Line | 6221 WILSHIRE BLVD SUITE 518
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City | LOS ANGELES
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State | CA
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Zip | 90048-5201
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Country | US
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Telephone | 323-549-0070
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Fax | 323-549-0440
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DAVID AARON WITTENBERG
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Credential | D.C.
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Telephone | 323-549-0070
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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 | DC29658
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License Number State | CA
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