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General NPI Number Information
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NPI Number | 1558821819
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Entity Type | Organization
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Legal Business Name | WODR
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 9393 E PALO BREA BND UNIT 1060
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-6508
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Country | US
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Telephone | 617-233-9408
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Fax |
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Provider Business Mailing Address
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Address Line | 9393 E PALO BREA BND UNIT 1060
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-6508
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Country | US
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Telephone | 617-233-9408
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELINDA SCHOTTENSTEIN
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Credential | ND
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Telephone | 617-233-9408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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