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General NPI Number Information
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NPI Number | 1700073426
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Entity Type | Organization
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Legal Business Name | VALLEY INTERGRATIVE PHYSICIANS PLLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 14231 N 7TH ST SUITE A2
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone | 602-504-1000
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Fax | 602-504-1008
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Provider Business Mailing Address
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Address Line | 14231 N 7TH ST SUITE A2
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone | 602-504-1000
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Fax | 602-504-1008
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CHERYL W HUEY
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Credential |
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Telephone | 602-504-1000
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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 | 5050
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License Number State | AZ
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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 | 7022
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7101
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License Number State | AZ
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