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General NPI Number Information
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NPI Number | 1073266110
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 405 W SOUTHERN AVE STE 115
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City | TEMPE
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State | AZ
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Zip | 85282-4500
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Country | US
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Telephone | 602-486-3846
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Fax |
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Provider Business Mailing Address
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Address Line | 734 W COCHISE LN
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City | GILBERT
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State | AZ
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Zip | 85233-5342
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Country | US
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Telephone | 480-408-4919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MELVIN CHARLES CASHWELL JR.
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Credential |
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Telephone | 602-486-3846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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