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General NPI Number Information
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NPI Number | 1558728949
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Entity Type | Organization
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Legal Business Name | ADIO AZ INC
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 7966 W THUNDERBIRD RD UNIT 102
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City | PEORIA
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State | AZ
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Zip | 85381-4902
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Country | US
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Telephone | 623-225-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 7966 W THUNDERBIRD RD UNIT 102
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City | PEORIA
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State | AZ
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Zip | 85381-4902
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Country | US
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Telephone | 623-225-5560
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. GAYLEN BARTLETT III
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Credential | D.C.
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Telephone | 623-225-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 111NT0100X
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Taxonomy Name | Thermography Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #8
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 8484
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License Number State | AZ
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Taxonomy #9
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8484
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License Number State | AZ
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