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General NPI Number Information
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NPI Number | 1427535525
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Entity Type | Organization
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Legal Business Name | MARIANNE NIELSEN CHIROPRACTIC NEUROLOGY INC.
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 321 LOS GATOS SARATOGA RD
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City | LOS GATOS
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State | CA
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Zip | 95030-5310
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Country | US
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Telephone | 408-395-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 321 LOS GATOS SARATOGA RD
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City | LOS GATOS
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State | CA
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Zip | 95030-5310
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Country | US
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Telephone | 408-395-6995
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIANNE NIELSEN
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Credential | DC
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Telephone | 408-395-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CA22103
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License Number State | CA
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