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General NPI Number Information
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NPI Number | 1053529958
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Entity Type | Organization
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Legal Business Name | HANDS ON HEALTHCARE
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 722 N MONTEZUMA ST
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City | PRESCOTT
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State | AZ
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Zip | 86301-2002
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Country | US
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Telephone | 928-776-8864
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Fax | 928-776-0964
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Provider Business Mailing Address
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Address Line | 722 N MONTEZUMA ST
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City | PRESCOTT
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State | AZ
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Zip | 86301-2002
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Country | US
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Telephone | 928-776-8864
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Fax | 928-776-0964
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DR. SHAWN THOMAS TYSON
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Credential | D.C.
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Telephone | 928-776-8864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 7374
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License Number State | AZ
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