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General NPI Number Information
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NPI Number | 1689050718
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Entity Type | Organization
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Legal Business Name | BIOWELL P.C.
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 16427 N SCOTTSDALE RD STE 410
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7102
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Country | US
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Telephone | 844-650-5908
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 E PINNACLE PEAK RD STE E200
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3668
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Country | US
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Telephone | 844-650-5908
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. THOMAS GARRISON
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Credential | M.D.
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Telephone | 801-721-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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