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General NPI Number Information
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NPI Number | 1982806022
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Entity Type | Individual
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Provider Name | NICOLAI LENNOX D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1125 CAMINO DEL MAR SUITE C
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City | DEL MAR
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State | CA
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Zip | 92014-2645
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Country | US
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Telephone | 858-481-9854
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Fax | 858-481-9738
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Provider Business Mailing Address
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Address Line | 1125 CAMINO DEL MAR SUITE C
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City | DEL MAR
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State | CA
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Zip | 92014-2645
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Country | US
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Telephone | 858-481-9854
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Fax | 858-481-9738
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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 11472
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License Number State | CA
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