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General NPI Number Information
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NPI Number | 1114163599
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Entity Type | Organization
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Legal Business Name | GTL PROPERTIES LLC
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 3605 W CORTARO FARMS RD STE 145
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City | TUCSON
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State | AZ
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Zip | 85742-8683
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Country | US
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Telephone | 520-579-2424
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Fax | 520-579-2426
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Provider Business Mailing Address
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Address Line | 3605 W CORTARO FARMS RD STE 145
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City | TUCSON
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State | AZ
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Zip | 85742-8683
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Country | US
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Telephone | 520-579-2424
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Fax | 520-579-2426
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Authorized Official
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Title or Position | DR. OF CHIROPRACTIC
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Name | DR. CHRISTINA MAE KESZLER
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Credential | BSC. DC
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Telephone | 520-579-2424
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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 | 7387
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License Number State | AZ
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