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General NPI Number Information
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NPI Number | 1669233763
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Entity Type | Organization
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Legal Business Name | PRO ACTIVE CHIROPRACTIC AND SPORTS MEDICINE PLLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 6638 E BASELINE RD STE 101
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City | MESA
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State | AZ
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Zip | 85206-4433
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Country | US
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Telephone | 480-534-7330
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Fax | 480-550-7657
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Provider Business Mailing Address
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Address Line | 6638 E BASELINE RD STE 101
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City | MESA
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State | AZ
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Zip | 85206-4433
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Country | US
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Telephone | 480-534-7330
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Fax | 480-550-7657
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Authorized Official
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Title or Position | OWNER
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Name | JEFF RODERICK
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Credential | DC
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Telephone | 480-534-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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