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General NPI Number Information
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NPI Number | 1225987142
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Entity Type | Individual
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Provider Name | BRANDON BIALLAS
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Gender | Male
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1555 W UNIVERSITY DR STE 108
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City | TEMPE
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State | AZ
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Zip | 85281-3281
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Country | US
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Telephone | 602-960-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 8713 E VALLEY VISTA DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5811
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Country | US
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Telephone | 480-216-0398
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 20001
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License Number State | AZ
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