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General NPI Number Information
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NPI Number | 1982839965
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Entity Type | Individual
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Provider Name | BRADLEY THOMAS DIONNE D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4550 E BELL RD STE 152
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City | PHOENIX
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State | AZ
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Zip | 85032-9382
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Country | US
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Telephone | 602-258-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 25055 N 75TH LN
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City | PEORIA
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State | AZ
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Zip | 85383-6461
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Country | US
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Telephone | 602-258-9663
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9314
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License Number State | AZ
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