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General NPI Number Information
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NPI Number | 1730636085
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Entity Type | Individual
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Provider Name | JOYCE C KAWALCHUK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2016
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Last Update Date | 09/03/2016
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Provider Practice Location Address
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Address Line | 4626 N 7TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85013-2756
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Country | US
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Telephone | 928-719-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 8566 W CHARLESTON AVE
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City | PEORIA
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State | AZ
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Zip | 85382-8070
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1039
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License Number State | AZ
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