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General NPI Number Information
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NPI Number | 1629213293
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Entity Type | Organization
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Legal Business Name | ORTHO CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 2540 E THOMAS RD SUITE H
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City | PHOENIX
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State | AZ
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Zip | 85016-7947
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Country | US
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Telephone | 602-522-2772
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Fax | 602-522-2774
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Provider Business Mailing Address
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Address Line | 2540 E THOMAS RD SUITE H
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City | PHOENIX
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State | AZ
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Zip | 85016-7947
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Country | US
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Telephone | 602-522-2772
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Fax | 602-522-2774
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Authorized Official
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Title or Position | OWNER
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Name | ANDY SBILIRIS
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Credential | D.C.
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Telephone | 602-522-2772
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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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