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General NPI Number Information
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NPI Number | 1255138632
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Entity Type | Organization
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Legal Business Name | WORK INJURY CENTERS OF ARIZONA
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 9150 W INDIAN SCHOOL RD STE 138139
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City | PHOENIX
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State | AZ
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Zip | 85037-2384
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Country | US
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Telephone | 602-760-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 730 SANDHILL RD STE 120
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City | RENO
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State | NV
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Zip | 89521-8962
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Country | US
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Telephone | 970-880-0064
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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. LLOYD L DECKER
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Credential | DC
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Telephone | 970-880-0064
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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 |
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License Number State |
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