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General NPI Number Information
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NPI Number | 1902963044
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Entity Type | Individual
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Provider Name | CYNTHIA DIX DC
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Gender | Female
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 1955 CORDELL CT STE 104
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City | EL CAJON
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State | CA
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Zip | 92020-0901
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Country | US
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Telephone | 619-402-7494
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 CORDELL CT STE 104
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City | EL CAJON
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State | CA
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Zip | 92020-0901
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Country | US
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Telephone | 619-402-7494
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC23791
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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 | 2357
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License Number State | OH
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