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General NPI Number Information
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NPI Number | 1356563555
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Entity Type | Organization
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Legal Business Name | PARADISE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 7450 E PINNACLE PEAK RD SUITE 154
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3435
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Country | US
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Telephone | 480-419-8900
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Fax | 480-419-9212
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Provider Business Mailing Address
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Address Line | 7450 E PINNACLE PEAK RD STE 154
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3605
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Country | US
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Telephone | 480-419-8900
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Fax | 480-419-9212
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. ANGELA RENEE PALMER
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Credential | DC
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Telephone | 602-703-2399
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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 | 7015
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License Number State | AZ
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