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General NPI Number Information
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NPI Number | 1568597979
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 13215 N VERDE RIVER DR SUITE 4
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8308
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Country | US
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Telephone | 480-837-5988
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Fax | 480-837-5991
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Provider Business Mailing Address
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Address Line | 13215 N VERDE RIVER DR SUITE 4
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8308
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Country | US
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Telephone | 480-837-5988
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Fax | 480-837-5991
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Authorized Official
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Title or Position | PRINCIPLE
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Name | DR. MATTHEW HENRY TEUSINK
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Credential | D.C.
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Telephone | 480-837-5988
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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 | 4603
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License Number State | AZ
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