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General NPI Number Information
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NPI Number | 1295103406
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Entity Type | Organization
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Legal Business Name | MONETTE ATCHLEY, LLC
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 14435 N 7TH ST SUITE 300A
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City | PHOENIX
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State | AZ
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Zip | 85022-4371
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Country | US
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Telephone | 602-350-4691
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Fax | 602-715-1966
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Provider Business Mailing Address
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Address Line | 14435 N 7TH ST SUITE 300A
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City | PHOENIX
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State | AZ
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Zip | 85022-4371
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Country | US
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Telephone | 602-350-4691
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Fax | 602-715-1966
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MONETTE RENEE ATCHLEY
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Credential | MSAC, L.AC., BSN
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Telephone | 602-350-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0934
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License Number State | AZ
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