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General NPI Number Information
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NPI Number | 1528523230
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Entity Type | Organization
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Legal Business Name | MARLER CHIROPRACTIC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 4284 TRAIL BOSS DR STE 120
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City | CASTLE ROCK
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State | CO
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Zip | 80104-7521
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Country | US
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Telephone | 505-506-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 S TARRYALL WAY
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City | FRANKTOWN
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State | CO
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Zip | 80116-8504
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Country | US
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Telephone | 505-506-6965
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Fax |
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | DR. DAVID WILLIAM MARLER
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Credential | DC
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Telephone | 505-506-6965
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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 |
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License Number State |
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