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General NPI Number Information
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NPI Number | 1609244250
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Entity Type | Organization
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Legal Business Name | IHS PHOENIX LLC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 991 W THORNBUSH PL
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1845
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Country | US
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Telephone | 214-872-3381
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Fax | 214-872-3387
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Provider Business Mailing Address
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Address Line | 6351 PRESTON RD SUITE 295
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City | FRISCO
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State | TX
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Zip | 75034-6320
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Country | US
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Telephone | 214-872-3381
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Fax | 214-872-3387
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC SNOWDEN
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Credential | D.C.
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Telephone | 214-872-3381
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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 | 27864
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License Number State | AZ
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