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General NPI Number Information
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NPI Number | 1093698599
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Entity Type | Organization
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Legal Business Name | J CALAHAN MAYNARD DC PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 201 S OWALLA AVE
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City | CLAREMORE
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State | OK
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Zip | 74017-5413
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Country | US
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Telephone | 918-505-2640
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Fax | 918-505-2323
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Provider Business Mailing Address
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Address Line | 18405 S 4190 RD
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City | CLAREMORE
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State | OK
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Zip | 74017-5366
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Country | US
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Telephone | 918-231-4464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN CALAHAN MAYNARD
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Credential | DC
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Telephone | 918-231-4464
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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 |
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License Number State |
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