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General NPI Number Information
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NPI Number | 1992937296
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Entity Type | Individual
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Provider Name | LAWRENCE R DAHL DC
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Gender | Male
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6986 EL CAMINO REAL SUITE F
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City | CARLSBAD
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State | CA
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Zip | 92009-4111
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Country | US
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Telephone | 714-758-8777
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Fax | 714-758-9036
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Provider Business Mailing Address
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Address Line | 1011 W LA PALMA AVE SUITE 101
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City | ANAHEIM
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State | CA
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Zip | 92801-3661
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Country | US
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Telephone | 714-758-8777
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Fax | 714-758-9036
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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 | 31248
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License Number State | CA
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