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General NPI Number Information
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NPI Number | 1689538936
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Entity Type | Organization
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Legal Business Name | MAIA CHIROPRACTIC ORGANIZATION
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 4700 ROCKLIN RD
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City | ROCKLIN
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State | CA
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Zip | 95677-3334
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Country | US
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Telephone | 310-867-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 22938 KESWICK ST
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City | WEST HILLS
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State | CA
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Zip | 91304-4514
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Country | US
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Telephone | 310-869-6192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JUSTIN P MAIA
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Credential | DC
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Telephone | 310-867-0935
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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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