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General NPI Number Information
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NPI Number | 1376579672
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Entity Type | Individual
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Provider Name | ELVA MARY GAMINO -CHARETTE D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 4231 W YORKSHIRE DR
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City | GLENDALE
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State | AZ
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Zip | 85308-7556
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Country | US
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Telephone | 623-581-5980
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Fax | 623-581-6009
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Provider Business Mailing Address
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Address Line | 4231 W YORKSHIRE DR
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City | GLENDALE
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State | AZ
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Zip | 85308-7556
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Country | US
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Telephone | 623-581-5980
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Fax | 623-581-6009
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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 | 4512
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License Number State | AZ
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