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General NPI Number Information
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NPI Number | 1245450980
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Entity Type | Organization
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Legal Business Name | HEALTHWAVES CORPORATION
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 1615 W UNIVERSITY DR STE. 137
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City | TEMPE
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State | AZ
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Zip | 85281-3257
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Country | US
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Telephone | 480-968-1886
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Fax | 480-968-8875
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Provider Business Mailing Address
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Address Line | 1615 W UNIVERSITY DR STE. 137
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City | TEMPE
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State | AZ
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Zip | 85281-3257
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Country | US
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Telephone | 480-968-1886
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Fax | 480-968-8875
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TED B HEDBERG
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Credential |
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Telephone | 480-968-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ZMD9047
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License Number State | AZ
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