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General NPI Number Information
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NPI Number | 1730379249
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Entity Type | Organization
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Legal Business Name | MCKENZIE-HENNESSY CHIROPRACTIC PC
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 7121 W BELL RD SUITE 220
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City | GLENDALE
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State | AZ
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Zip | 85308-8555
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Country | US
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Telephone | 623-939-9489
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Fax | 623-939-1934
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Provider Business Mailing Address
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Address Line | 7121 W BELL RD SUITE 220
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City | GLENDALE
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State | AZ
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Zip | 85308-8555
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Country | US
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Telephone | 623-939-9489
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Fax | 623-939-1934
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. DAWNE HENNESSY
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Credential | DC
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Telephone | 623-939-9489
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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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