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General NPI Number Information
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NPI Number | 1184995524
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Entity Type | Organization
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Legal Business Name | MAXWELL FAMILY CHIROPRACTIC CENTER, PC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 210 SUNSET DR SUITE E
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City | SEDONA
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State | AZ
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Zip | 86336-5406
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Country | US
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Telephone | 928-282-3348
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4198
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City | SEDONA
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State | AZ
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Zip | 86340-4198
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Country | US
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Telephone | 928-282-3348
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN MAXWELL
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Credential | DC
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Telephone | 928-282-3348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7986
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License Number State | AZ
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