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General NPI Number Information
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NPI Number | 1497209100
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Entity Type | Organization
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Legal Business Name | CAREY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 3023 BUNKER HILL ST SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92109-5706
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Country | US
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Telephone | 858-750-8665
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Fax | 858-430-9648
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Provider Business Mailing Address
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Address Line | 3023 BUNKER HILL ST SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92109-5706
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Country | US
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Telephone | 858-750-8665
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL CHARLES CAREY
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Credential | D.C.
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Telephone | 858-750-8665
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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 | 32300
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License Number State | CA
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