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General NPI Number Information
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NPI Number | 1831179019
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Entity Type | Organization
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Legal Business Name | ALYESH, P.A.
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 7333 W THOMAS RD SUITE 40
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City | PHOENIX
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State | AZ
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Zip | 85033-5546
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Country | US
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Telephone | 623-849-1736
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Fax | 623-849-0406
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Provider Business Mailing Address
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Address Line | 7333 W THOMAS RD SUITE 40
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City | PHOENIX
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State | AZ
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Zip | 85033-5546
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Country | US
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Telephone | 623-849-1736
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Fax | 623-849-0406
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Authorized Official
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Title or Position | OWNER
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Name | DR. OMID ALYESHMERNI
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Credential | DC
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Telephone | 623-849-1736
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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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