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General NPI Number Information
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NPI Number | 1619594041
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Entity Type | Organization
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Legal Business Name | MELISSA A KOPP, DC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 533 S MAIN ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3902
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Country | US
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Telephone | 928-639-1700
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Fax | 928-639-2001
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Provider Business Mailing Address
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Address Line | 533 S MAIN ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3902
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Country | US
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Telephone | 928-639-1700
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Fax | 928-639-2001
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA KOPP DC
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Credential | DC
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Telephone | 928-639-1700
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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 |
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License Number State |
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