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General NPI Number Information
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NPI Number | 1043727167
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Entity Type | Organization
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Legal Business Name | BLUEPAZ, LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 7000 N 16TH ST STE 120 #158
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City | PHOENIX
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State | AZ
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Zip | 85020
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Country | US
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Telephone | 602-345-1425
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 N 16TH ST STE 120 #158
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City | PHOENIX
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State | AZ
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Zip | 85020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF CONSULTANT
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Name | DR. DARA N. RAMPERSAD
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Credential | PH.D., LPC, NCC
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Telephone | 602-345-1425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4742
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1275
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4742
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1275
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 1275
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 4742
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License Number State | AZ
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