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General NPI Number Information
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NPI Number | 1982835864
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Entity Type | Organization
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Legal Business Name | OSSIPINSKY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 9794 W PEORIA AVE SUITE 5
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City | PEORIA
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State | AZ
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Zip | 85345-6138
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Country | US
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Telephone | 480-580-0045
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Fax | 623-594-8700
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Provider Business Mailing Address
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Address Line | 5973 W SACK DR
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City | GLENDALE
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State | AZ
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Zip | 85308-7612
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Country | US
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Telephone | 480-580-0045
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. STEPHEN OSSIPINSKY
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Credential | DC
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Telephone | 480-580-0045
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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 |
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License Number State |
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