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General NPI Number Information
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NPI Number | 1275655284
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Entity Type | Organization
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Legal Business Name | JEFFREY KNUTSEN P C
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 8712 E VIA DE COMMER SUITE 7
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3362
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Country | US
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Telephone | 480-951-4464
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Fax | 480-922-1863
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Provider Business Mailing Address
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Address Line | 8712 E VIA DE COMMER SUITE 7
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3362
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Country | US
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Telephone | 480-951-4464
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Fax | 480-922-1863
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY DAVID KNUTSEN
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Credential | D.C.
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Telephone | 480-951-4464
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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 | 3875
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License Number State | AZ
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