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General NPI Number Information
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NPI Number | 1346356896
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Entity Type | Individual
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Provider Name | JOHN W THUERCK III DC
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 2960 N LITCHFIELD RD STE 110
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City | GOODYEAR
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State | AZ
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Zip | 85395-7822
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Country | US
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Telephone | 623-882-9602
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Fax |
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Provider Business Mailing Address
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Address Line | 14801 W COUNTRY GABLES DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5416
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Country | US
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Telephone | 623-882-9619
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X008216
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License Number State | NY
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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 | 5917
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License Number State | AZ
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