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General NPI Number Information
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NPI Number | 1780891499
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Entity Type | Organization
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Legal Business Name | TERRA HEALTH CONCEPTS
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16650 E HAWK DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-4513
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Country | US
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Telephone | 480-816-1600
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Fax | 480-837-3050
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Provider Business Mailing Address
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Address Line | 16650 E HAWK DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-4513
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Country | US
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Telephone | 480-816-1600
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Fax | 480-837-3050
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Authorized Official
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Title or Position | NATUROPATHIC MEDICAL DOCTOR
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Name | DR. ALLYN LOUISE KRIEGER-FIEDLER
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Credential | NMD
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Telephone | 480-816-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 97503
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License Number State | AZ
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