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General NPI Number Information
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NPI Number | 1861522419
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Entity Type | Organization
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Legal Business Name | JOHN S BICKLE DO PLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 33755 N SCOTTSDALE RD SUITE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1567
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Country | US
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Telephone | 480-595-8900
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Fax | 480-595-8910
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Provider Business Mailing Address
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Address Line | 33755 N SCOTTSDALE RD SUITE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1567
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Country | US
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Telephone | 480-595-8900
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Fax | 480-595-8910
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN BICKLE
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Credential | DO
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Telephone | 480-595-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30905
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License Number State | AZ
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