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General NPI Number Information
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NPI Number | 1851414700
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Entity Type | Individual
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Provider Name | JOHN LEONARD DACCARDI JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14300 N NORTHSIGHT BLVD STE 217
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3677
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Country | US
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Telephone | 480-401-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 EAST SOUTHLAKE BLVD. STE 120
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-891-1673
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6217
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License Number State | CO
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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 | 4543
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License Number State | MN
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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 | 11467
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License Number State | TX
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