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General NPI Number Information
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NPI Number | 1588054290
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Entity Type | Organization
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Legal Business Name | VERDE FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 2822 N 32ND ST STE 2
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City | PHOENIX
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State | AZ
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Zip | 85008-1261
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Country | US
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Telephone | 818-481-6796
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 E LARKSPUR DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ELISABETH JANA KEHRLI
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Credential | DC
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Telephone | 818-481-6796
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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 | 8419
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License Number State | AZ
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