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General NPI Number Information
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NPI Number | 1902755432
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Entity Type | Individual
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Provider Name | ALLAN JEFF BISCOCHO BARTOLO
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Gender | Male
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 10401 W THUNDERBIRD BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-3004
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Country | US
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Telephone | 623-832-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 16050 W MAUI LN
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City | SURPRISE
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State | AZ
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Zip | 85379-5138
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Country | US
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Telephone | 623-986-3241
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 232678
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License Number State | AZ
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