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General NPI Number Information
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NPI Number | 1114310836
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Entity Type | Organization
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Legal Business Name | MARSDEN CHIROPRACTIC CARE
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 778 ALTOS OAKS DR
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City | LOS ALTOS
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State | CA
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Zip | 94024-5401
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Country | US
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Telephone | 650-450-0215
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 SPACE PARK WAY SPC 29
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-1419
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Country | US
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Telephone | 650-799-7411
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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. CASSANDRA LYNN MARSDEN
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Credential | D.C.
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Telephone | 650-450-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 33203
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License Number State | CA
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