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General NPI Number Information
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NPI Number | 1407016942
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Entity Type | Organization
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Legal Business Name | ML TIMM A CHIROPRACTIC CORP
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 560 S ESCONDIDO BLVD
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City | ESCONDIDO
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State | CA
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Zip | 92025-4816
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Country | US
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Telephone | 760-741-0774
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Fax | 760-741-0775
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Provider Business Mailing Address
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Address Line | 560 S ESCONDIDO BLVD
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City | ESCONDIDO
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State | CA
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Zip | 92025-4816
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Country | US
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Telephone | 760-741-0774
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Fax | 760-741-0775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAURA LINDSAY TIMM
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Credential | D.C.
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Telephone | 760-741-0774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | DC29376
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License Number State | CA
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