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NPI 1972280881

NPI 1972280881 : ALIVIA ROWLAND DC : GOODYEAR, AZ

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General NPI Number Information
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    NPI Number           |    1972280881
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    Entity Type          |    Individual 
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    Provider Name        |    ALIVIA ROWLAND DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2023
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    Last Update Date     |    07/03/2023
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Provider Practice Location Address
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    Address Line         |    1468 N LITCHFIELD RD STE M6 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85395-1374
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    Country              |    US
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    Telephone            |    623-777-3861
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5010 E CHEYENNE DR APT 1077 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85044-1773
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    Country              |    US
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    Telephone            |    260-249-9535
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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       |    2301401395
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    License Number State |    MI
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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       |    9301
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    License Number State |    AZ
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