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General NPI Number Information
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NPI Number | 1043954936
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Entity Type | Organization
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Legal Business Name | KORE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 14891 N NORTHSIGHT BLVD STE 117
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2635
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Country | US
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Telephone | 480-408-8684
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Fax | 480-999-5561
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Provider Business Mailing Address
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Address Line | 14891 N NORTHSIGHT BLVD STE 117
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2635
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Country | US
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Telephone | 480-408-8684
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Fax | 480-999-5561
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONY J KOEHLER
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Credential | D.C.
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Telephone | 480-408-8684
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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 |
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License Number State |
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