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General NPI Number Information
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NPI Number | 1194701896
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Entity Type | Individual
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Provider Name | QUATI MAKEETA DC
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 10214 N TATUM BLVD STE A1500
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City | PHOENIX
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State | AZ
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Zip | 85028-4203
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Country | US
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Telephone | 602-808-8828
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Fax |
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Provider Business Mailing Address
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Address Line | 10214 N TATUM BLVD STE A1500
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City | PHOENIX
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State | AZ
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Zip | 85028-4203
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Country | US
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Telephone | 602-808-8828
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Fax |
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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 | DC008785
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3913
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7227
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2688
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | AI008658
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License Number State | PA
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