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General NPI Number Information
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NPI Number | 1750565875
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Entity Type | Organization
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Legal Business Name | QUINN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 530 N ESTRELLA PKWY SUITE C-1
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City | GOODYEAR
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State | AZ
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Zip | 85338
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Country | US
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Telephone | 623-932-9211
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Fax | 623-932-9210
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Provider Business Mailing Address
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Address Line | 530 N ESTRELLA PKWY SUITE C-1
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City | GOODYEAR
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State | AZ
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Zip | 85338-4137
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Country | US
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Telephone | 623-932-9211
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Fax | 623-932-9210
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. SCOTT QUINN
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Credential |
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Telephone | 623-932-9211
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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 | 7869
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License Number State | AZ
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