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General NPI Number Information
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NPI Number | 1508387713
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Entity Type | Organization
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Legal Business Name | AR FOOTE CHIROPRACTIC & HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 2080 W SOUTHERN AVE BLDG A2
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7656
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Country | US
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Telephone | 480-982-6568
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Fax | 480-982-6568
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Provider Business Mailing Address
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Address Line | 22048 E PECAN DR
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-4895
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Country | US
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Telephone | 480-982-6568
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ALEXANDER RAY FOOTE
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Credential | DC
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Telephone | 480-982-6568
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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 | 7686
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License Number State | AZ
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