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General NPI Number Information
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NPI Number | 1710881313
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Entity Type | Organization
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Legal Business Name | RED ROCK HEALING CENTER
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 3042 W CALAVAR RD
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City | PHOENIX
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State | AZ
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Zip | 85053-5741
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Country | US
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Telephone | 602-330-5385
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Fax |
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Provider Business Mailing Address
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Address Line | 3042 W CALAVAR RD
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City | PHOENIX
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State | AZ
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Zip | 85053-5741
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Country | US
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Telephone | 602-330-5385
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. DANIELLE MARIE FUSELIER
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Credential | LMT,VT, OWNER
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Telephone | 602-330-5385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State | NULL
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