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General NPI Number Information
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NPI Number | 1083710354
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Entity Type | Organization
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Legal Business Name | KUTY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 6634 E ASTER DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4549
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Country | US
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Telephone | 480-945-7800
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Fax | 480-945-7805
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Provider Business Mailing Address
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Address Line | 6634 E ASTER DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4549
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Country | US
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Telephone | 480-945-7800
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JOLENE NICOLE KUTY
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Credential | D.C.
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Telephone | 480-945-7800
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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 | 7653
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License Number State | AZ
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