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NPI Code Detail

MEDICARE: CONTINUUM CARE PROVIDERS OF ARIZONA, LLC

MEDICARE: CONTINUUM CARE PROVIDERS OF ARIZONA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1548131527
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTINUUM CARE PROVIDERS OF ARIZONA, LLC
Provider Business Mailing Address
First Line : 3905 HEDGCOXE RD UNIT 250249
Second Line :
City : PLANO
State : TX
Zip : 75025-0840
Country : US
Telephone Number : 337-347-7371
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S 7TH AVE STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85007-4076
Country : US
Telephone Number : 623-236-2000
Fax Number :
Authorized Official
Title or Position : EVP
Name : LAURA F. TARANTINO
Credential :
Telephone Number : 985-377-2219
Provider Enumeration Date : 09/15/2025
Last Update Date : 09/15/2025

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Directions to “CONTINUUM CARE PROVIDERS OF ARIZONA, LLC ” Practice Location

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