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General NPI Number Information
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NPI Number | 1952450041
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Entity Type | Organization
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Legal Business Name | DR. JAMIE M. CULHANE, A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1000 NEWBURY ROAD STE 175
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City | THOUSAND OAKS
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State | CA
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Zip | 91320
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Country | US
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Telephone | 805-375-4715
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Fax | 805-375-4767
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Provider Business Mailing Address
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Address Line | 1000 NEWBURY ROAD STE 175
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City | THOUSAND OAKS
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State | CA
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Zip | 91320
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Country | US
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Telephone | 805-375-4715
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Fax | 805-375-4767
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Authorized Official
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Title or Position | FAMILY CHIROPRACTOR
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Name | DR. JAMIE M CULHANE
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Credential | DICCP
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Telephone | 805-375-4715
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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 | DC23779
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License Number State |
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