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General NPI Number Information
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NPI Number | 1518695543
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Entity Type | Individual
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Provider Name | STUART KRICK DC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 7750 EAST GREENWAY ROAD UNIT 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85260
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Country | US
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Telephone | 480-525-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 EAST GREENWAY ROAD UNIT 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85260
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Country | US
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Telephone | 309-258-4428
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 9122
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License Number State | AZ
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