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General NPI Number Information
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NPI Number | 1689493405
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Entity Type | Organization
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Legal Business Name | UPRIGHT CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 13207 E STATE ROUTE 169 STE B
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City | DEWEY
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State | AZ
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Zip | 86327-0018
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Country | US
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Telephone | 928-499-0069
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Fax | 928-440-0780
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Provider Business Mailing Address
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Address Line | 841 S MANZANITA BLVD
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City | DEWEY
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State | AZ
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Zip | 86327-7119
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Country | US
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Telephone | 208-870-6894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOGAN BAXTER
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Credential | DC
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Telephone | 208-870-6894
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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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Taxonomy #2
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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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