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General NPI Number Information
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NPI Number | 1679668537
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Entity Type | Organization
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Legal Business Name | KIERLAND FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6339 E GREENWAY RD STE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6517
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Country | US
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Telephone | 480-443-7678
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Fax | 480-443-7661
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Provider Business Mailing Address
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Address Line | 5533 E BELL RD STE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1256
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Country | US
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Telephone | 602-788-4200
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Fax | 602-788-4208
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KATHLEEN GEORGE
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Credential |
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Telephone | 602-788-4200
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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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