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General NPI Number Information
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NPI Number | 1447141924
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Entity Type | Organization
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Legal Business Name | DANCESOUL FOUNDATION
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1401 E VAN BUREN ST
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City | PHOENIX
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State | AZ
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Zip | 85006-4298
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Country | US
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Telephone | 602-487-2117
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Fax |
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Provider Business Mailing Address
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Address Line | 7725 S 37TH WAY
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City | PHOENIX
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State | AZ
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Zip | 85042-9657
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Country | US
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Telephone | 602-487-2117
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KARA J WHITE
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Credential |
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Telephone | 602-487-2117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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