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General NPI Number Information
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NPI Number | 1770344004
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Entity Type | Organization
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Legal Business Name | CANOE CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8628 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77031-1301
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Country | US
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Telephone | 281-888-5968
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Fax |
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Provider Business Mailing Address
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Address Line | 8628 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77031-1301
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Country | US
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Telephone | 281-888-5968
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ABRAHAM MALOUF
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Credential | DC
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Telephone | 202-294-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number |
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License Number State |
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