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General NPI Number Information
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NPI Number | 1396015558
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Entity Type | Organization
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Legal Business Name | RICHARD W ANDREASEN DC & ASSOCIATES PLC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 7400 S POWER RD SUITE 120
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City | GILBERT
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State | AZ
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Zip | 85297-9281
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Country | US
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Telephone | 480-279-4441
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Fax | 480-302-7812
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Provider Business Mailing Address
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Address Line | 7400 S POWER RD SUITE 120
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City | GILBERT
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State | AZ
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Zip | 85297-9281
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Country | US
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Telephone | 480-279-4441
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Fax | 480-302-7812
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD WILLIAM ANDREASEN
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Credential | DC
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Telephone | 480-279-4441
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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 | 5692
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License Number State | AZ
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