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General NPI Number Information
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NPI Number | 1023330560
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Entity Type | Organization
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Legal Business Name | CENTER 4 STRESS REDUCTION
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 48 N TUCSON BLVD
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City | TUCSON
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State | AZ
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Zip | 85716-4757
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Country | US
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Telephone | 520-271-1545
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Fax |
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Provider Business Mailing Address
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Address Line | 48 N TUCSON BLVD
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City | TUCSON
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State | AZ
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Zip | 85716-4757
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Country | US
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Telephone | 520-271-1545
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RICHARD VANCE BARNES
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Credential | M.D.
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Telephone | 520-271-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34714
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License Number State | AZ
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