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General NPI Number Information
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NPI Number | 1306141635
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Entity Type | Organization
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Legal Business Name | AZ PHYSIO
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 5533 E BELL RD BUILDING 2 SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-788-4200
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Fax | 602-788-4208
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Provider Business Mailing Address
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Address Line | 5533 E BELL RD BUILDING 2 SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-788-4200
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Fax | 602-788-4208
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JOSH J BALDWIN
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Credential | D.C.
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Telephone | 602-788-4200
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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