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General NPI Number Information
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NPI Number | 1871658146
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Entity Type | Organization
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Legal Business Name | KEVIN P MCNAMEE DC A PROFESSIONAL CHIROPRACTIC CORP
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 20121 VENTURA BLVD SUITE 212
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2546
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Country | US
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Telephone | 818-999-4747
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Fax | 818-883-9133
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Provider Business Mailing Address
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Address Line | 20121 VENTURA BLVD SUITE 212
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2546
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Country | US
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Telephone | 818-999-4747
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. KEVIN PAUL MCNAMEE
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Credential | DC, L.AC.
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Telephone | 818-999-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC3890
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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 | DC19535
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License Number State | CA
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