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General NPI Number Information
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NPI Number | 1467595710
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Entity Type | Organization
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Legal Business Name | VALLEY SPINAL CARE SHEA PLLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12002 E SHEA BLVD #4
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4161
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Country | US
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Telephone | 480-391-7788
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Fax | 480-391-7793
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Provider Business Mailing Address
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Address Line | 5533 E BELL RD #109
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1228
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Country | US
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Telephone | 602-788-4200
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Fax | 602-788-4208
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KATHY ANN GEORGE
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Credential |
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Telephone | 602-788-4200
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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 |
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License Number State | AZ
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