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General NPI Number Information
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NPI Number | 1417768110
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Entity Type | Organization
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Legal Business Name | CHELANI PRODUCTIONS, LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 120 E MAIN ST STE B
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City | PAYSON
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State | AZ
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Zip | 85541-5618
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Country | US
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Telephone | 928-472-2225
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Fax | 928-468-0002
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Provider Business Mailing Address
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Address Line | 120 E MAIN ST STE B
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City | PAYSON
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State | AZ
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Zip | 85541-5618
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Country | US
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Telephone | 928-472-2225
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Fax | 928-468-0002
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BRIAN GABBERT
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Credential | DC
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Telephone | 928-472-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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