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General NPI Number Information
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NPI Number | 1285830638
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Entity Type | Organization
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Legal Business Name | TEMPE WELLNESS SOLUTIONS
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8950 S 52ND ST STE 313
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City | TEMPE
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State | AZ
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Zip | 85284-1044
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Country | US
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Telephone | 480-763-0700
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Fax | 480-763-6006
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD STE 202 # 611
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3036
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Country | US
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Telephone | 480-763-0700
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Fax | 480-763-6006
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MAHER
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Credential | DC
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Telephone | 480-763-0700
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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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