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General NPI Number Information
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NPI Number | 1013508696
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH CLINIC OF CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 2775 MIRACLE MILE STE 1
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-3719
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Country | US
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Telephone | 928-758-4101
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Fax | 928-758-4115
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Provider Business Mailing Address
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Address Line | 2775 MIRACLE MILE STE 1
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-3719
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Country | US
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Telephone | 289-758-4101
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Fax | 928-758-4115
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Authorized Official
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Title or Position | CHIROPRACTIC OWNER
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Name | DR. SHEILA M BARNETT
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Credential | DC
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Telephone | 716-830-6865
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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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