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General NPI Number Information
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NPI Number | 1952692931
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Entity Type | Organization
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Legal Business Name | ALLEVIATE WELLNESS CENTER OF NELSON LEE CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 2560 W OLYMPIC BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90006-2972
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Country | US
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Telephone | 213-383-0007
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Fax | 866-505-1544
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Provider Business Mailing Address
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Address Line | 2560 W OLYMPIC BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90006-2972
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Country | US
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Telephone | 213-383-0007
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Fax | 866-505-1544
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Authorized Official
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Title or Position | PRESIDENT
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Name | NELSON LEE
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Credential | D.C., L.AC.
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Telephone | 213-383-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC7286
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC29495
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License Number State | CA
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