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NPI 1841373701

NPI 1841373701 : EAST VALLEY FAMILY HEALTHCARE, PC : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1841373701
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    Entity Type          |    Organization 
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    Legal Business Name  |    EAST VALLEY FAMILY HEALTHCARE, PC 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    04/08/2013
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Provider Practice Location Address
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    Address Line         |    3755 S GILBERT RD STE 109
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85297
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    Country              |    US
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    Telephone            |    480-821-9388
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    Fax                  |    480-821-6326
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Provider Business Mailing Address
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    Address Line         |    3755 S GILBERT RD STE 109
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85297
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    Country              |    US
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    Telephone            |    480-821-9388
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    Fax                  |    480-821-6326
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOHN PATRICK MCFARLANE 
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    Credential           |    D.C.
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    Telephone            |    480-821-9388
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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       |    7029
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    3325R
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    7999
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    License Number State |    AZ
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