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General NPI Number Information
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NPI Number | 1952529976
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Entity Type | Individual
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Provider Name | GARY EDWARD ERKFRITZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 1325 E THOUSAND OAKS BLVD SUITE 104
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-2822
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Country | US
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Telephone | 805-371-8082
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Fax | 805-498-7537
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Provider Business Mailing Address
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Address Line | 2082 NEWBURY RD 13
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City | NEWBURY PARK
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State | CA
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Zip | 91320-3329
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Country | US
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Telephone | 805-371-8082
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Fax | 805-371-8086
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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 | DC10260
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License Number State | CA
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