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General NPI Number Information
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NPI Number | 1083953616
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Entity Type | Organization
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Legal Business Name | ARROWHEAD CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 17100 N 67TH AVE STE 300
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City | GLENDALE
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State | AZ
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Zip | 85308-3605
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Country | US
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Telephone | 623-878-8999
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Fax | 623-878-4877
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Provider Business Mailing Address
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Address Line | 17100 N 67TH AVE STE 300
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City | GLENDALE
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State | AZ
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Zip | 85308-3605
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Country | US
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Telephone | 623-878-8999
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Fax | 623-878-4877
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAUGHN ANTHONY MOVSES
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Credential | D.C.
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Telephone | 623-878-8999
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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 | 7747
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License Number State | AZ
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