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General NPI Number Information
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NPI Number | 1033665054
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Entity Type | Organization
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Legal Business Name | TOENSING FAMILY CHIROPRACTIC AND NUTRITION
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 15601 N ORACLE RD
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City | CATALINA
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State | AZ
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Zip | 85739-9111
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Country | US
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Telephone | 630-696-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 15601 N ORACLE RD
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City | CATALINA
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State | AZ
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Zip | 85739-9111
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Country | US
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Telephone | 630-696-7370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KOREY TOENSING
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Credential | DC
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Telephone | 630-696-7370
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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 | 8433
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License Number State | AZ
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