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General NPI Number Information
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NPI Number | 1871370536
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Entity Type | Organization
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Legal Business Name | FUHR CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 3714 E INDIAN SCHOOL RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-5107
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Country | US
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Telephone | 602-224-0004
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Fax | 602-224-1182
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Provider Business Mailing Address
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Address Line | 3714 E INDIAN SCHOOL RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-5107
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Country | US
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Telephone | 602-224-0004
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Fax | 602-224-1182
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC A PETERMANN
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Credential | DC
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Telephone | 602-224-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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