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General NPI Number Information
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NPI Number | 1871255471
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Entity Type | Individual
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Provider Name | OLIVIA ANDRIES DC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2121 N 44TH ST APT 3304
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City | PHOENIX
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State | AZ
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Zip | 85008-3252
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Country | US
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Telephone | 937-902-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 N 44TH ST APT 3304
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City | PHOENIX
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State | AZ
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Zip | 85008-3252
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Country | US
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Telephone | 937-902-9216
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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 | 35087
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License Number State | CA
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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 | 9094
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License Number State | AZ
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