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General NPI Number Information
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NPI Number | 1811372345
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Entity Type | Organization
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Legal Business Name | BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2451 E BASELINE RD SUITE 425
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City | GILBERT
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State | AZ
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Zip | 85234-2471
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Country | US
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Telephone | 480-494-2770
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Fax | 480-494-2771
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Provider Business Mailing Address
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Address Line | 2451 E BASELINE RD STE 425
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City | GILBERT
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State | AZ
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Zip | 85234-0049
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Country | US
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Telephone | 480-494-2770
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Fax | 480-494-2771
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Authorized Official
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Title or Position | CEO
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Name | CALLIE TURK
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Credential |
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Telephone | 480-494-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 12739741
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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