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General NPI Number Information
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NPI Number | 1841332707
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Entity Type | Individual
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Provider Name | NICHOLAS KYLE CRABILL D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 32395 CLINTON KEITH RD STE 9B
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City | WILDOMAR
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State | CA
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Zip | 92595-8509
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Country | US
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Telephone | 951-304-9949
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Fax | 951-304-9975
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Provider Business Mailing Address
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Address Line | 24335 PRIELIPP RD SUITE 129
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City | WILDOMAR
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State | CA
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Zip | 92595-7426
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Country | US
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Telephone | 951-304-9949
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Fax | 951-304-9975
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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 | 30396
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC30396
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License Number State | CA
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