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General NPI Number Information
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NPI Number | 1326597626
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Entity Type | Organization
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Legal Business Name | ACUCHIRO LLC
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 2996 E MEADOWVIEW DR
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City | GILBERT
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State | AZ
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Zip | 85298-5724
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Country | US
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Telephone | 330-501-5136
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Fax |
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Provider Business Mailing Address
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Address Line | 2996 E MEADOWVIEW DR
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City | GILBERT
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State | AZ
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Zip | 85298-5724
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. SITHARI EDIRISOORIYA
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Credential | D.C.
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Telephone | 330-501-5136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 8429
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License Number State | AZ
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