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General NPI Number Information
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NPI Number | 1376728675
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Entity Type | Organization
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Legal Business Name | DARRE HOLDINGS LTD
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 15027 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374-3216
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Country | US
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Telephone | 623-215-4107
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Fax | 623-215-7453
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Provider Business Mailing Address
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Address Line | 15027 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374-3216
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Country | US
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Telephone | 623-215-4107
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Fax | 623-215-7453
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MICHELLE R COATS
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Credential | DC
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Telephone | 623-215-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0468
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 07-992
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7436
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License Number State | AZ
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