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General NPI Number Information
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NPI Number | 1952506149
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Entity Type | Organization
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Legal Business Name | MUAC DIAGNOSTIC, INC.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 15610 N 35TH AVE STE 11
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City | PHOENIX
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State | AZ
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Zip | 85053-3838
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Country | US
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Telephone | 480-577-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 15610 N 35TH AVE STE 11
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City | PHOENIX
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State | AZ
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Zip | 85053-3838
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Country | US
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Telephone | 480-577-8755
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES D SCHAEFER
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Credential | DC
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Telephone | 480-577-8755
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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 | 3437
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License Number State | AZ
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