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General NPI Number Information
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NPI Number | 1497554976
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Entity Type | Organization
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Legal Business Name | LIFE CHIROPRACTIC NORTH SCOTTSDALE LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 8900 E PINNACLE PEAK RD STE E5
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3648
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Country | US
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Telephone | 623-302-1697
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Fax |
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Provider Business Mailing Address
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Address Line | 438 W DESERT FLOWER LN
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City | PHOENIX
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State | AZ
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Zip | 85045-0449
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LISA DIONISIO
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Credential |
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Telephone | 602-300-4040
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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 |
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