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General NPI Number Information
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NPI Number | 1649789702
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Entity Type | Organization
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Legal Business Name | POWERS ON HEALTHCARE LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 1301 E UNIVERSITY DR STE 117
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City | TEMPE
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State | AZ
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Zip | 85281-8424
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Country | US
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Telephone | 480-842-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 1211B NEW BRUNSWICK AVE
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-4125
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Country | US
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Telephone | 908-878-0100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. FERDINAND ROSSI
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Credential |
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Telephone | 908-878-0100
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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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