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General NPI Number Information
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NPI Number | 1861631574
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Entity Type | Individual
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Provider Name | DANIEL MALDONADO D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 8820 TAMARACK RD
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City | PITTSFORD
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State | MI
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Zip | 49271-9782
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Country | US
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Telephone | 760-468-1958
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Fax |
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Provider Business Mailing Address
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Address Line | 8820 TAMARACK RD
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City | PITTSFORD
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State | MI
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Zip | 49271-9782
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Country | US
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Telephone | 760-468-1958
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31130
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B01446
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301010192
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License Number State | MI
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