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General NPI Number Information
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NPI Number | 1215729892
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Entity Type | Organization
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Legal Business Name | CENTRIC CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 3303 S LINDSAY RD STE 119A
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City | GILBERT
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State | AZ
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Zip | 85297-2100
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Country | US
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Telephone | 602-904-2513
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Fax | 480-605-3728
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Provider Business Mailing Address
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Address Line | 2083 W SPRUCE DR
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City | CHANDLER
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State | AZ
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Zip | 85286-6779
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Country | US
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Telephone | 602-904-2513
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. SETH D WILDE
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Credential | DC
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Telephone | 602-904-2513
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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 |
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License Number State |
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