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General NPI Number Information
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NPI Number | 1962754200
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Entity Type | Organization
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Legal Business Name | DIMAANO CHIROPRACTIC INC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 3801 LAS POSAS RD STE 114
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City | CAMARILLO
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State | CA
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Zip | 93010-1477
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Country | US
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Telephone | 805-482-0723
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Fax | 805-482-9749
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Provider Business Mailing Address
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Address Line | 3801 LAS POSAS RD STE 114
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City | CAMARILLO
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State | CA
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Zip | 93010-1477
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Country | US
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Telephone | 805-482-0723
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Fax | 805-482-9749
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ROMEO DIMAANO
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Credential | D.C.
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Telephone | 805-482-0723
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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 | DC30203
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License Number State | CA
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