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NPI 1962806638

NPI 1962806638 : MALONEY CHIROPRACTIC PLLC : FARMERS BRANCH, TX

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General NPI Number Information
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    NPI Number           |    1962806638
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    Entity Type          |    Organization 
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    Legal Business Name  |    MALONEY CHIROPRACTIC PLLC 
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Dates
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    Enumeration Date     |    10/09/2014
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    Last Update Date     |    12/02/2014
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Provider Practice Location Address
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    Address Line         |    4220 PROTON RD SUITE 110
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    City                 |    FARMERS BRANCH
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    State                |    TX
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    Zip                  |    75244-3505
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    Country              |    US
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    Telephone            |    214-641-3640
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    Fax                  |    972-239-4091
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Provider Business Mailing Address
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    Address Line         |    4220 PROTON RD SUITE 110
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    City                 |    FARMERS BRANCH
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    State                |    TX
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    Zip                  |    75244-3505
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    Country              |    US
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    Telephone            |    214-641-3640
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    Fax                  |    972-239-4091
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    DR. KEVIN  MALONEY 
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    Credential           |    D.C.
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    Telephone            |    214-641-3640
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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       |    
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    License Number State |    
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