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General NPI Number Information
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NPI Number | 1932321247
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Entity Type | Organization
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Legal Business Name | CRAIG A BEUTTLER CHIROPRACTIC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 225 POSADA LN STE C
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City | TEMPLETON
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State | CA
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Zip | 93465-4058
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Country | US
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Telephone | 805-434-0888
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Fax | 805-434-0934
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Provider Business Mailing Address
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Address Line | 225 POSADA LN STE C
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City | TEMPLETON
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State | CA
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Zip | 93465-4058
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Country | US
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Telephone | 805-434-0888
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Fax | 805-434-0934
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG ALLEN BEUTTLER
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Credential | DC, FIAMA
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Telephone | 805-434-0888
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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 | COR2639
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License Number State | CA
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