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General NPI Number Information
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NPI Number | 1982728564
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Entity Type | Organization
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Legal Business Name | DESIGNER HEALTH & REHAB
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17777 MAIN ST
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City | IRVINE
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State | CA
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Zip | 92614-4795
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Country | US
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Telephone | 949-433-5000
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Fax | 949-660-1512
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Provider Business Mailing Address
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Address Line | 17777 MAIN ST
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City | IRVINE
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State | CA
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Zip | 92614-4795
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Country | US
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Telephone | 949-433-5000
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Fax | 949-660-1512
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. CAROL R SOLOWAY
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Credential | DC
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Telephone | 949-433-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 15396
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License Number State | CA
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