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General NPI Number Information
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NPI Number | 1558621292
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Entity Type | Organization
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Legal Business Name | MOTION PERFORMANCE GROUP SCOTTSDALE PLLC
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 8250 E ARABIAN TRL 108
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1855
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Country | US
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Telephone | 517-214-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 8250 E ARABIAN TRL 108
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1855
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Country | US
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Telephone | 517-214-2501
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | DR. JUSTIN PIERCE
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Credential | DC
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Telephone | 517-214-2501
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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 | 3744
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License Number State | AZ
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