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General NPI Number Information
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NPI Number | 1578836078
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Entity Type | Organization
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Legal Business Name | IN TOUCH CHIROPRACTIC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 2302 W. GREENWAY RD.
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City | PHOENIX
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State | AZ
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Zip | 85023
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Country | US
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Telephone | 602-548-1998
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Fax | 602-283-5927
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Provider Business Mailing Address
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Address Line | 2302 W GREENWAY RD
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City | PHOENIX
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State | AZ
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Zip | 85023-4235
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Country | US
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Telephone | 602-548-1998
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Fax | 602-283-5927
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANGELO PISANO
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Credential | D.C.
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Telephone | 602-548-1998
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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 | 7321
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License Number State | AZ
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