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General NPI Number Information
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NPI Number | 1851646509
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Entity Type | Individual
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Provider Name | DANIELLE BEVIER D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 09/13/2015
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Provider Practice Location Address
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Address Line | 2043 WESTCLIFF DR STE 107
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5509
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Country | US
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Telephone | 949-650-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 20301 SW ACACIA ST SUITE 250
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1732
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Country | US
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Telephone |
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Fax |
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 31926
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License Number State | CA
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