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General NPI Number Information
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NPI Number | 1073166278
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Entity Type | Organization
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Legal Business Name | ASCEND TELEMEDICINE, LLC
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 312 N ALMA SCHOOL RD STE 11
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City | CHANDLER
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State | AZ
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Zip | 85224-4354
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Country | US
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Telephone | 814-853-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 312 N ALMA SCHOOL RD STE 11
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City | CHANDLER
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State | AZ
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Zip | 85224-4354
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Country | US
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Telephone | 814-853-3489
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Fax |
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Authorized Official
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Title or Position | COO, CO-FOUNDER
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Name | JOSHUA LESLIE
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Credential | PA-C
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Telephone | 814-853-3489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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