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General NPI Number Information
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NPI Number | 1538339304
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE CHIROPRACTIC AND NUTRITION CENTER INC
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 6501 E GREENWAY PKWY STE 157
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2069
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Country | US
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Telephone | 480-991-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 E GREENWAY PKWY STE 157
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2069
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Country | US
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Telephone | 480-991-9355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER OWEN HEIMLICH
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Credential | D.C.
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Telephone | 480-991-9355
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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 | DC5449
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License Number State | AZ
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