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General NPI Number Information
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NPI Number | 1669401659
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Entity Type | Organization
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Legal Business Name | BELL ROAD CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4921 E BELL RD SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6002
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Country | US
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Telephone | 480-222-7500
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Fax | 480-222-7502
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Provider Business Mailing Address
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Address Line | 8776 E SHEA BLVD SUITE B3A #318
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6629
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Country | US
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Telephone | 480-222-7500
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Fax | 480-222-7502
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT A GONZALEZ
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Credential | DC
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Telephone | 480-222-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7215
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License Number State | AZ
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