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General NPI Number Information
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NPI Number | 1669487187
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Entity Type | Individual
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Provider Name | RICHARD LAWRENCE HIJAZI D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15182 N 75TH AVE SUITE 160
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City | PEORIA
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State | AZ
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Zip | 85381-4722
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Country | US
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Telephone | 623-334-5010
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Fax | 623-334-0742
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Provider Business Mailing Address
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Address Line | 8762 W GREENBRIAN DR
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City | PEORIA
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State | AZ
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Zip | 85382-3045
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Country | US
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Telephone | 623-322-2633
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7535
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License Number State | AZ
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