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General NPI Number Information
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NPI Number | 1588616940
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Entity Type | Individual
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Provider Name | BRIDGIT BEASLEY DANNER LAC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 21001 N TATUM BLVD STE 78-1640
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City | PHOENIX
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State | AZ
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Zip | 85050-5244
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Country | US
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Telephone | 480-255-8546
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Fax |
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Provider Business Mailing Address
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Address Line | 1083 W BLUEBIRD DR
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City | CHANDLER
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State | AZ
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Zip | 85286-7534
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Country | US
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Telephone | 971-533-2332
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00793
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | LAC-012155
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License Number State | AZ
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