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General NPI Number Information
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NPI Number | 1346484045
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Entity Type | Organization
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Legal Business Name | TAP INTO WELLNESS PLLC
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 2151 S HIGHWAY 92 SUITE # 109
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5282
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Country | US
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Telephone | 520-458-1507
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Fax | 520-458-1580
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Provider Business Mailing Address
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Address Line | 2151 S HIGHWAY 92 SUITE # 109
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5282
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Country | US
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Telephone | 520-458-1507
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Fax | 520-458-1580
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAP DUONG
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Credential | D.C.
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Telephone | 520-458-1507
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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 | 8029
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License Number State | AZ
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