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General NPI Number Information
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NPI Number | 1184689135
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Entity Type | Individual
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Provider Name | GREG P. MUCHNIJ X CH
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 4550 E BELL RD STE.284
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City | PHOENIX
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State | AZ
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Zip | 85032-9306
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Country | US
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Telephone | 602-866-3505
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Fax | 602-866-2521
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Provider Business Mailing Address
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Address Line | 4550 E BELL RD STE 284
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City | PHOENIX
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State | AZ
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Zip | 85032-9384
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Country | US
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Telephone | 602-866-3505
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Fax | 608-866-2521
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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 | 118228
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License Number State | AZ
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