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General NPI Number Information
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NPI Number | 1124527577
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Entity Type | Individual
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Provider Name | KARLEY KING MCCLOSKEY DC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 1340 IMPERIAL BEACH BLVD STE 100A
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City | IMPERIAL BEACH
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State | CA
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Zip | 91932-3046
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Country | US
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Telephone | 337-277-0130
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Fax |
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Provider Business Mailing Address
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Address Line | 1253 FLORENCE ST
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City | IMPERIAL BEACH
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State | CA
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Zip | 91932-3606
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Country | US
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Telephone | 337-277-0130
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Fax |
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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 | 34945
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License Number State | CA
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