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General NPI Number Information
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NPI Number | 1295450336
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Entity Type | Organization
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Legal Business Name | KELLY BRETT SMITH CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 2123 S HIGHWAY 92
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5269
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Country | US
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Telephone | 520-459-5199
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Fax | 520-459-1303
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Provider Business Mailing Address
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Address Line | 2123 S HIGHWAY 92
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5269
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Country | US
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Telephone | 520-459-5199
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Fax | 520-459-1303
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HALEY SMITH
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Credential |
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Telephone | 520-678-4070
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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 |
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License Number State |
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Taxonomy #2
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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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