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General NPI Number Information
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NPI Number | 1881832608
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Entity Type | Organization
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Legal Business Name | FRANK C. BREDICE, DOCTOR OF CHIROPRACTIC A PROFESSIONAL
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 4835 VAN NUYS BLVD STE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2129
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Country | US
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Telephone | 818-784-2060
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Fax | 818-784-0228
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Provider Business Mailing Address
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Address Line | 4835 VAN NUYS BLVD STE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2129
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Country | US
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Telephone | 818-784-2060
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Fax | 818-784-0228
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Authorized Official
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Title or Position | OWNER
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Name | FRANK C. BREDICE
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Credential | D.C.
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Telephone | 818-784-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC13949
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License Number State | CA
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