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General NPI Number Information
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NPI Number | 1760695043
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Entity Type | Organization
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Legal Business Name | SALBERG FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 202 N GRANITE ST SUITE 210
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City | PRESCOTT
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State | AZ
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Zip | 86301-3026
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Country | US
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Telephone | 928-445-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 202 N GRANITE ST SUITE 210
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City | PRESCOTT
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State | AZ
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Zip | 86301-3026
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Country | US
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Telephone | 928-445-2004
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ORYAN SALBERG
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Credential | D.C.
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Telephone | 928-445-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5956
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License Number State | AZ
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