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General NPI Number Information
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NPI Number | 1619572476
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Entity Type | Individual
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Provider Name | ANTHONY DINOBILE BCHN
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Gender | Male
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 2880 N LA BARGE RD
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City | APACHE JUNCTION
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State | AZ
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Zip | 85119-8733
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Country | US
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Telephone | 480-710-9648
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Fax |
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Provider Business Mailing Address
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Address Line | 151 W SUPERSTITION BLVD UNIT 6202
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City | APACHE JUNCTION
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State | AZ
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Zip | 85178-6090
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Country | US
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Telephone | 623-252-1789
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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