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General NPI Number Information
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NPI Number | 1942599956
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Entity Type | Organization
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Legal Business Name | MALONEY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1924 OLD BERWICK RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-3036
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Country | US
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Telephone | 570-784-2811
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Fax | 570-784-2822
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Provider Business Mailing Address
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Address Line | 1924 OLD BERWICK RD REAR
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City | BLOOMSBURG
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State | PA
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Zip | 17815-3036
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Country | US
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Telephone | 570-784-2811
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Fax | 570-784-2822
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Authorized Official
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Title or Position | OWNER
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Name | RYAN MALONEY
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Credential |
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Telephone | 315-651-9755
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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 | DC009775
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License Number State | PA
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