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General NPI Number Information
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NPI Number | 1750349767
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Entity Type | Individual
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Provider Name | DAVID ALLAN BIEGEN EDD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18700 N 64TH DR SUITE 106
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City | GLENDALE
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State | AZ
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Zip | 85308-7109
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Country | US
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Telephone | 623-825-0500
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Fax | 480-488-0424
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Provider Business Mailing Address
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Address Line | 18700 N 64TH DR SUITE 106
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City | GLENDALE
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State | AZ
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Zip | 85308-7109
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Country | US
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Telephone | 623-825-0500
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Fax | 480-488-0424
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | AZ384
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License Number State | AZ
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