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General NPI Number Information
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NPI Number | 1659413979
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Entity Type | Organization
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Legal Business Name | NATURAL LIFE CENTERS, LTD.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10723 W INDIAN SCHOOL RD
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City | AVONDALE
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State | AZ
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Zip | 85323-5636
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Country | US
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Telephone | 623-848-6991
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Fax | 623-848-6993
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Provider Business Mailing Address
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Address Line | 2830 W NORTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85051-6626
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Country | US
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Telephone | 602-864-0036
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Fax | 602-864-0065
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | PAUL ARTHUR WOOLF
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Credential | DC
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Telephone | 602-864-0036
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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 | 4228
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License Number State | AZ
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