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General NPI Number Information
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NPI Number | 1942448170
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Entity Type | Organization
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Legal Business Name | FAYE & FAYE CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 10801 NATIONAL BLVD SUITE 340
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City | LOS ANGELES
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State | CA
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Zip | 90064-4139
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Country | US
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Telephone | 310-470-1225
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Fax | 310-475-8204
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Provider Business Mailing Address
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Address Line | 10801 NATIONAL BLVD SUITE 340
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City | LOS ANGELES
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State | CA
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Zip | 90064-4139
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Country | US
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Telephone | 310-470-1225
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Fax | 310-475-8204
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEONARD JOHN FAYE
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Credential | D.C.
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Telephone | 310-470-1225
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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 | DC17395
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License Number State | CA
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