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General NPI Number Information
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NPI Number | 1902073406
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Entity Type | Organization
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Legal Business Name | DODIE CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 3920 E INDIAN SCHOOL RD #16
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City | PHOENIX
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State | AZ
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Zip | 85018-5257
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Country | US
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Telephone | 602-956-3360
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Fax | 602-977-1357
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Provider Business Mailing Address
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Address Line | 3920 E INDIAN SCHOOL RD #16
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City | PHOENIX
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State | AZ
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Zip | 85018-5257
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Country | US
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Telephone | 602-956-3360
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Fax | 602-977-1357
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Authorized Official
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Title or Position | OPERATOR
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Name | DR. LAURIE L. DODIE
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Credential | D.C.
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Telephone | 602-956-3360
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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 | 3966
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License Number State | AZ
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