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General NPI Number Information
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NPI Number | 1336542901
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Entity Type | Organization
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Legal Business Name | MCDOWELL FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 8300 UNIVERSITY AVE
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City | LA MESA
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State | CA
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Zip | 91942-9323
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Country | US
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Telephone | 619-670-7700
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Fax | 619-670-3540
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Provider Business Mailing Address
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Address Line | 8300 UNIVERSITY AVE
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City | LA MESA
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State | CA
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Zip | 91942-9323
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Country | US
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Telephone | 619-670-7700
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Fax | 619-670-3540
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY MICHAEL MCDOWELL
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Credential | D.C.
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Telephone | 619-670-7700
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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 | 19534
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License Number State | CA
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