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General NPI Number Information
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NPI Number | 1457790412
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Entity Type | Individual
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Provider Name | ANTHONY ARTHUR JANSSEN DC
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Gender | Male
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Dates
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Enumeration Date | 06/22/2013
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 20261 E OCOTILLO RD 114
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-8806
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Country | US
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Telephone | 480-987-0899
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Fax | 480-987-0922
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Provider Business Mailing Address
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Address Line | 18567 E AUBREY GLEN RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-3652
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Country | US
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Telephone | 715-271-8166
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Fax |
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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 | 8364
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License Number State | AZ
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