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General NPI Number Information
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NPI Number | 1427106913
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Entity Type | Organization
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Legal Business Name | TOSCZAK CHIROPRACTIC INC A PROFESSIONAL CORP
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1938 VIA CTR STE B
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City | VISTA
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State | CA
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Zip | 92081-6056
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Country | US
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Telephone | 760-758-4325
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Fax | 760-639-4325
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Provider Business Mailing Address
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Address Line | 1938 VIA CTR STE B
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City | VISTA
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State | CA
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Zip | 92081-6056
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Country | US
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Telephone | 760-758-4325
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Fax | 760-639-4325
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELISSA LYNN TOSCZAK
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Credential | DC
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Telephone | 760-758-4325
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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 | DC29284
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC29235
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License Number State | CA
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