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General NPI Number Information
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NPI Number | 1053573105
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Entity Type | Organization
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Legal Business Name | MARRICH CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | NMARRICH CHIROPRACTIC INC 3401 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110
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Country | US
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Telephone | 505-889-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110
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Country | US
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Telephone | 505-889-3333
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JOSLYNN GERBER
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Credential |
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Telephone | 505-889-3333
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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 | 667
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License Number State | NM
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