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General NPI Number Information
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NPI Number | 1184906489
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Entity Type | Organization
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Legal Business Name | FIX24, LLC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 7000 E MAYO BLVD SUITE 1058
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City | PHOENIX
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State | AZ
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Zip | 85054-6151
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Country | US
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Telephone | 480-419-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 E MAYO BLVD SUITE 1058
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City | PHOENIX
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State | AZ
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Zip | 85054-6151
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Country | US
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Telephone | 480-419-1500
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SYLVIA ROBB
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Credential |
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Telephone | 623-693-4407
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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 | 7152
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License Number State | AZ
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