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General NPI Number Information
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NPI Number | 1518086818
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Entity Type | Organization
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Legal Business Name | MELISSA ANN KOPP, DC PLLC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 1632 E COTTONWOOD ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4692
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Country | US
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Telephone | 928-639-1700
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Fax | 928-639-2001
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Provider Business Mailing Address
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Address Line | 1632 E COTTONWOOD ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4692
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Country | US
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Telephone | 928-639-1700
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Fax | 928-639-2001
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA A KOPP
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Credential | DC
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Telephone | 928-639-1700
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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 | 8082
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License Number State | AZ
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