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NPI 1225408719

NPI 1225408719 : B2Y PLLC : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1225408719
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    Entity Type          |    Organization 
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    Legal Business Name  |    B2Y PLLC 
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Dates
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    Enumeration Date     |    09/28/2015
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    Last Update Date     |    12/01/2016
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Provider Practice Location Address
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    Address Line         |    8910 N CENTRAL AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85020-2819
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    Country              |    US
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    Telephone            |    602-252-0659
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8910 N CENTRAL AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85020-2819
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    Country              |    US
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    Telephone            |    602-252-0659
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NATASHA  WILLIAMS 
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    Credential           |    DC
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    Telephone            |    602-252-0659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    8266
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    License Number State |    AZ
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