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General NPI Number Information
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NPI Number | 1629202924
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Entity Type | Organization
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Legal Business Name | DAVID COX CHIROPRACTIC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 856 JOHNSON ST
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City | RED BLUFF
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State | CA
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Zip | 96080-3257
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Country | US
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Telephone | 530-527-1774
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Fax | 530-527-1778
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Provider Business Mailing Address
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Address Line | 856 JOHNSON ST
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City | RED BLUFF
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State | CA
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Zip | 96080-3257
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Country | US
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Telephone | 530-527-1774
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Fax | 530-527-1778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID E COX
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Credential | DC
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Telephone | 530-527-1774
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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 | DC123830
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License Number State | CA
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