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General NPI Number Information
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NPI Number | 1649330382
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Entity Type | Organization
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Legal Business Name | GREENWAY303 CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 16995 W GREENWAY RD STE 102
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City | SURPRISE
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State | AZ
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Zip | 85388-9609
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Country | US
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Telephone | 623-698-7771
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Fax | 623-455-8759
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Provider Business Mailing Address
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Address Line | 16995 W GREENWAY RD STE 102
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City | SURPRISE
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State | AZ
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Zip | 85388-9609
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Country | US
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Telephone | 623-698-7771
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Fax | 623-455-8759
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM M BUCUR
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Credential | D.C.
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Telephone | 623-698-7771
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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 | 7731
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License Number State | AZ
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