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General NPI Number Information
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NPI Number | 1750928958
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Entity Type | Organization
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Legal Business Name | TUKEE LIFESTYLE CHIROPRACTIC PLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 1345 E CHANDLER BLVD STE 105
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City | PHOENIX
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State | AZ
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Zip | 85048-6280
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Country | US
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Telephone | 724-255-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 414 E WINDMERE DR
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City | PHOENIX
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State | AZ
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Zip | 85048-1981
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Country | US
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Telephone | 724-255-8800
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAIGE KING
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Credential |
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Telephone | 724-809-7170
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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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