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General NPI Number Information
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NPI Number | 1720876808
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Entity Type | Organization
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Legal Business Name | PARODOCS WELLNESS, LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 20265 N 59TH AVE STE B1
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City | GLENDALE
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State | AZ
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Zip | 85308-6819
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Country | US
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Telephone | 602-888-7992
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Fax |
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Provider Business Mailing Address
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Address Line | 6887 W MARIPOSA GRANDE LN
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City | PEORIA
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State | AZ
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Zip | 85383-3243
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Country | US
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Telephone | 480-734-3585
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLINT BORMAN
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Credential | PT
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Telephone | 602-888-7992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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