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General NPI Number Information
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NPI Number | 1134470172
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Entity Type | Organization
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Legal Business Name | FURRY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 966 E FRY BLVD
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2640
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Country | US
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Telephone | 520-458-1551
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Fax | 520-458-1896
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Provider Business Mailing Address
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Address Line | 966 E FRY BLVD
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2640
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Country | US
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Telephone | 520-458-1551
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Fax | 520-458-1896
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES TRAVIS FURRY
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Credential | D.C.
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Telephone | 520-458-1551
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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 | 5888
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License Number State | AZ
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