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General NPI Number Information
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NPI Number | 1437489127
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Entity Type | Organization
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Legal Business Name | ACTIVE CARE WELLNESS, PLLC
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Dates
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Enumeration Date | 01/03/2010
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 17787 N PERIMETER DR STE A113
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5454
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Country | US
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Telephone | 480-508-0808
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Fax | 480-546-5415
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Provider Business Mailing Address
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Address Line | 17787 N PERIMETER DR STE A113
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5454
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Country | US
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Telephone | 480-508-0808
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Fax | 480-546-5415
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL J JAREMBEK
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Credential | D.C.
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Telephone | 480-508-0808
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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 | 7379
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License Number State | AZ
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