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General NPI Number Information
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NPI Number | 1144415019
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Entity Type | Organization
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Legal Business Name | DR JUSTIN ROSS PLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 34406 N 27TH DR SUITE 116
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City | PHOENIX
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State | AZ
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Zip | 85085-6082
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Country | US
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Telephone | 623-223-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 W CAREFREE HWY SUITE 1-342
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City | PHOENIX
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State | AZ
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Zip | 85086-3201
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Country | US
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Telephone | 623-223-1350
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTIN COLLIN ROSS
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Credential | D.C.
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Telephone | 602-867-7463
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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 | 7827
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License Number State | AZ
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