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General NPI Number Information
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NPI Number | 1487850400
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Entity Type | Organization
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Legal Business Name | CAMELVIEW CHIROPRACTIC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4040 E CAMELBACK RD STE 105
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City | PHOENIX
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State | AZ
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Zip | 85018-2736
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Country | US
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Telephone | 602-957-4622
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Fax | 602-957-4620
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Provider Business Mailing Address
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Address Line | 5115 N. DYSART RD. STE 202 611
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340
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Country | US
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Telephone | 602-957-4622
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Fax | 602-957-4620
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MAHER
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Credential | DC
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Telephone | 602-957-4622
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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 | 5340
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License Number State | AZ
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