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General NPI Number Information
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NPI Number | 1558882977
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Entity Type | Organization
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Legal Business Name | ORO VALLEY HEALTH AND WELLNESS CHIROPRACTIC, PC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 11115 N LA CANADA STE. 155
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City | ORO VALLEY
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State | AZ
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Zip | 85737
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Country | US
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Telephone | 520-505-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 13265 N RAINBOW CACTUS CT
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City | ORO VALLEY
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State | AZ
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Zip | 85755
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Country | US
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Telephone | 707-318-8520
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL MARSH
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Credential | DC
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Telephone | 520-505-0550
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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 | 8633
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License Number State | AZ
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