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General NPI Number Information
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NPI Number | 1295059889
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH PC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 1734 HIGHWAY 95 STE 102
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-6999
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Country | US
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Telephone | 928-234-2264
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Fax | 928-565-7176
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Provider Business Mailing Address
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Address Line | 2354 S CORDES RD
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City | GOLDEN VALLEY
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State | AZ
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Zip | 86413-8774
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Country | US
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Telephone | 928-565-7976
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Fax | 938-565-7176
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Authorized Official
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Title or Position | OWNER
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Name | DR. BART ROBERT HAYES
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Credential | D.C.
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Telephone | 928-565-7076
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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 | 7365
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License Number State | AZ
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