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General NPI Number Information
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NPI Number | 1992081731
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Entity Type | Individual
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Provider Name | TONI L BENNALLEY L.AC.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3030 N LITCHFIELD RD STE 120
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City | GOODYEAR
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State | AZ
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Zip | 85395-7803
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Country | US
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Telephone | 623-777-4555
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Fax | 623-242-5755
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Provider Business Mailing Address
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Address Line | 6527 N 73RD AVE
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City | GLENDALE
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State | AZ
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Zip | 85303-3541
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Country | US
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Telephone | 623-204-5604
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 270
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License Number State | AZ
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