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General NPI Number Information
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NPI Number | 1801114723
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Entity Type | Organization
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Legal Business Name | ACKERMAN PROFESSIONAL SERVICES, INC.
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 291 S WILLARD ST STE 105
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4167
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Country | US
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Telephone | 928-301-9897
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Fax | 928-639-1566
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Provider Business Mailing Address
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Address Line | 495 S GLORIA LN
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City | CORNVILLE
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State | AZ
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Zip | 86325-5535
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Country | US
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Telephone | 928-649-1849
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MICHAEL ACKERMAN
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Credential | D.C.
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Telephone | 928-649-1849
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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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