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General NPI Number Information
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NPI Number | 1992829220
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Entity Type | Individual
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Provider Name | STEVEN ROBERT RECKER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 211 CULVER BLVD SUITE G
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7788
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Country | US
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Telephone | 310-301-2131
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Fax | 310-822-4586
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Provider Business Mailing Address
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Address Line | 15550 ROCKFIELD BLVD B220
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City | IRVINE
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State | CA
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Zip | 92618-2720
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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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 | DC25788
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License Number State | CA
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