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General NPI Number Information
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NPI Number | 1770789497
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Entity Type | Organization
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Legal Business Name | KENNETH M. TOY A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 30630 RANCHO CALIFORNIA RD STE. F501
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City | TEMECULA
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State | CA
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Zip | 92591-3283
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Country | US
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Telephone | 951-694-6350
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Fax | 951-694-6353
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Provider Business Mailing Address
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Address Line | 30630 RANCHO CALIFORNIA RD STE. F501
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City | TEMECULA
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State | CA
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Zip | 92591-3283
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Country | US
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Telephone | 951-694-6350
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Fax | 951-694-6353
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH MICHAEL TOY
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Credential | D.C.
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Telephone | 951-694-6350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 19635
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License Number State | CA
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