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General NPI Number Information
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NPI Number | 1164753083
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Entity Type | Organization
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Legal Business Name | A HEALING CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 5620 W THUNDERBIRD RD STE D4
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City | GLENDALE
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State | AZ
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Zip | 85306-4640
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Country | US
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Telephone | 602-789-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 W THUNDERBIRD RD STE D4
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City | GLENDALE
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State | AZ
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Zip | 85306-4640
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Country | US
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Telephone | 602-789-0880
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JUDITH B. HARVILLA
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Credential | D.C.
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Telephone | 602-435-0013
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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 | 5275
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License Number State | AZ
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