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General NPI Number Information
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NPI Number | 1295940187
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 347 S MONTEZUMA ST
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City | PRESCOTT
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State | AZ
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Zip | 86303-4221
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Country | US
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Telephone | 928-776-8230
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Fax | 928-776-1334
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Provider Business Mailing Address
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Address Line | PO BOX 2802
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City | PRESCOTT
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State | AZ
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Zip | 86302-2802
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Country | US
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Telephone | 928-776-8230
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Fax | 928-776-1334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDER JAMES CARR
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Credential | D.C.
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Telephone | 928-776-8230
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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 | 7388
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License Number State | AZ
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