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General NPI Number Information
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NPI Number | 1801073085
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Entity Type | Individual
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Provider Name | BARBARA ANNE BRUEHLER M.T.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 07/14/2019
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Provider Practice Location Address
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Address Line | 3530 S VAL VISTA DR STE 214
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City | GILBERT
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State | AZ
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Zip | 85297-7324
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Country | US
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Telephone | 602-529-1926
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Fax | 775-599-4779
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Provider Business Mailing Address
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Address Line | 853 E DRY CREEK RD STE 7&8
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-5315
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Country | US
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Telephone | 602-529-1926
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Fax | 775-599-4779
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA44285
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-22637
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License Number State | AZ
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