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NPI 1093636391

NPI 1093636391 : ND INTEGRATIVE, LLC : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1093636391
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    Entity Type          |    Organization 
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    Legal Business Name  |    ND INTEGRATIVE, LLC 
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Dates
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    Enumeration Date     |    07/22/2026
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    Last Update Date     |    07/22/2026
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Provider Practice Location Address
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    Address Line         |    8950 E GERMANN RD STE 24 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85212-5301
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    Country              |    US
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    Telephone            |    480-992-8020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19135 E SUPERSTITION CT 
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    City                 |    QUEEN CREEK
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    State                |    AZ
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    Zip                  |    85142-5330
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    Country              |    US
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    Telephone            |    505-907-9334
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NADINE  DESORMEAU 
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    Credential           |    L.AC.
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    Telephone            |    480-992-8020
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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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