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General NPI Number Information
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NPI Number | 1538465620
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Entity Type | Organization
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Legal Business Name | A ALYESH CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 1427 E BELL RD STE 104
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City | PHOENIX
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State | AZ
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Zip | 85022-2712
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Country | US
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Telephone | 602-863-9003
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Fax | 602-993-3014
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Provider Business Mailing Address
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Address Line | 1427 E BELL RD STE 104
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City | PHOENIX
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State | AZ
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Zip | 85022-2712
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Country | US
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Telephone | 602-863-9003
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Fax | 602-993-3014
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT ALYESHMERNI
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Credential | DC
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Telephone | 602-863-9003
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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 | 4131
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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 | 4131
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License Number State | AZ
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