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General NPI Number Information
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NPI Number | 1669778627
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Entity Type | Organization
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Legal Business Name | MARSH CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 101 H ST STE D
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City | PETALUMA
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State | CA
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Zip | 94952-5152
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Country | US
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Telephone | 707-775-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 101 H ST STE D
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City | PETALUMA
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State | CA
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Zip | 94952-5152
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Country | US
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Telephone | 707-775-4000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL E MARSH
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Credential |
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Telephone | 707-775-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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