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General NPI Number Information
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NPI Number | 1528070331
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Entity Type | Individual
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Provider Name | JOSEPH PARKHILL DUDLEY DC LAC
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 2334 NORTH SCOTTSDALE ROAD SUITE A 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85257
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Country | US
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Telephone | 480-440-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 2134 EAST BROADWAY UNIT 1032
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City | TEMPE
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State | AZ
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Zip | 85282
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Country | US
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Telephone | 480-968-6205
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0632
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7927
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | A31
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 365
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License Number State | MA
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