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General NPI Number Information
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NPI Number | 1013459593
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Entity Type | Organization
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Legal Business Name | PIECING SOLUTIONS TOGETHER, LLC
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 10501 E SEVEN GENERATIONS WAY STE 121
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City | TUCSON
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State | AZ
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Zip | 85747-5828
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Country | US
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Telephone | 520-833-4290
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Fax |
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Provider Business Mailing Address
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Address Line | 10882 E ESCALANTE RD
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City | TUCSON
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State | AZ
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Zip | 85730-5504
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Country | US
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Telephone | 520-833-4290
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MISS NICOLE LEE PETERSON
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Credential |
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Telephone | 520-441-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-13586
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License Number State | AZ
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