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General NPI Number Information
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NPI Number | 1942616255
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Entity Type | Organization
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Legal Business Name | MALCHOW CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 12145 ALTA CARMEL CT
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City | SAN DIEGO
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State | CA
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Zip | 92128-3842
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Country | US
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Telephone | 619-246-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 SIERRA LINDA DR
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City | ESCONDIDO
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State | CA
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Zip | 92025-7668
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Country | US
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Telephone | 619-246-1787
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL MALCHOW
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Credential | DC
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Telephone | 619-246-1787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 14982
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License Number State | CA
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