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General NPI Number Information
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NPI Number | 1689539926
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Entity Type | Organization
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Legal Business Name | THE WELL CHIROPRACTIC CLINIC #2
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6836 E BROWN RD STE 102
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City | MESA
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State | AZ
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Zip | 85207-3756
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Country | US
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Telephone | 480-582-3739
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Fax | 480-582-4630
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Provider Business Mailing Address
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Address Line | 6836 E BROWN RD STE 102
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City | MESA
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State | AZ
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Zip | 85207-3756
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Country | US
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Telephone | 480-582-3739
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Fax | 480-582-4630
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/OWNER
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Name | BRYCE K GARST
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Credential | DC
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Telephone | 480-582-3739
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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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