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General NPI Number Information
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NPI Number | 1477725976
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Entity Type | Organization
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Legal Business Name | HAGGARD CHIROPRACTIC LTD
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 4108 N 49TH DR
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City | PHOENIX
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State | AZ
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Zip | 85031-2320
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Country | US
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Telephone | 623-247-5577
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Fax | 623-247-7203
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Provider Business Mailing Address
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Address Line | 4108 N 49TH DR
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City | PHOENIX
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State | AZ
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Zip | 85031-2320
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Country | US
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Telephone | 623-247-5577
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Fax | 623-247-7203
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHARITY D HAGGARD
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Credential |
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Telephone | 623-537-5921
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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 | 680
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License Number State | AZ
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