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General NPI Number Information
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NPI Number | 1134493455
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Entity Type | Individual
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Provider Name | JOSEPH D JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 9170 E BAHIA DR STE 108
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1530
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Country | US
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Telephone | 480-648-9235
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Fax |
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Provider Business Mailing Address
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Address Line | 21615 N 74TH WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4728
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Country | US
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Telephone | 602-330-6702
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8229
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License Number State | AZ
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