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General NPI Number Information
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NPI Number | 1073803664
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Entity Type | Organization
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Legal Business Name | MAYDA COX CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 1755 ORANGE AVE SUITE B
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City | COSTA MESA
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State | CA
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Zip | 92627-3130
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Country | US
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Telephone | 949-645-1177
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Fax | 949-548-0076
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Provider Business Mailing Address
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Address Line | 1755 ORANGE AVE SUITE B
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City | COSTA MESA
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State | CA
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Zip | 92627-3130
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Country | US
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Telephone | 949-645-1177
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Fax | 949-548-0076
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MAYDA E COX
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Credential | DC
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Telephone | 949-645-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | DC23777
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License Number State | CA
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