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General NPI Number Information
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NPI Number | 1952363715
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Entity Type | Individual
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Provider Name | BRADLEY H WERRELL DO
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 5990 S HOSPITAL DR
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City | GLOBE
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State | AZ
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Zip | 85501-9462
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Country | US
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Telephone | 928-425-8151
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Fax | 928-425-9425
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Provider Business Mailing Address
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Address Line | PO BOX 2509
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City | GLOBE
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State | AZ
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Zip | 85502-2509
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Country | US
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Telephone | 928-425-8151
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Fax | 928-425-9425
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4540
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 4540
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34007912
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 34007912
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License Number State | OH
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