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General NPI Number Information
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NPI Number | 1144369448
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Entity Type | Individual
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Provider Name | ADAM P KERIEVSKY ND, LAC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 623-207-3373
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Fax | 623-207-3384
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Provider Business Mailing Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 623-207-3373
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Fax | 623-207-3384
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0037
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 97-505
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License Number State | AZ
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