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General NPI Number Information
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NPI Number | 1043856933
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Entity Type | Organization
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Legal Business Name | ARRAY CLINICAL AND THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 1349 CLEVELAND AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4726
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Country | US
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Telephone | 800-440-1652
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Fax | 970-775-8107
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Provider Business Mailing Address
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Address Line | 1349 CLEVELAND AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4726
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Country | US
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Telephone | 800-440-1652
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Fax | 303-545-5296
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Authorized Official
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Title or Position | CDO
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Name | JENNIFER KELLY ORDWAY
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Credential |
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Telephone | 954-557-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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