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General NPI Number Information
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NPI Number | 1831362862
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Entity Type | Organization
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Legal Business Name | SIX CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 3233 E CAMELBACK RD
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 602-957-9559
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Fax | 602-957-2901
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Provider Business Mailing Address
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Address Line | 3233 E CAMELBACK RD
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 602-957-9559
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Fax | 602-957-2901
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. RONALD LEE SIX JR.
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Credential | D.C.
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Telephone | 602-957-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 6044
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License Number State | AZ
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