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General NPI Number Information
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NPI Number | 1952519571
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Entity Type | Individual
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Provider Name | ROBERT I JEFFREY D.C., L.AC.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11611 SAN VICENTE BLVD SUITE 605
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City | LOS ANGELES
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State | CA
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Zip | 90049-5106
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Country | US
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Telephone | 310-826-5151
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Fax | 310-826-8446
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Provider Business Mailing Address
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Address Line | 11611 SAN VICENTE BLVD SUITE 605
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City | LOS ANGELES
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State | CA
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Zip | 90049-5106
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Country | US
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Telephone | 310-826-5151
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Fax | 310-826-8446
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 20636
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 4833
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License Number State | CA
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