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General NPI Number Information
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NPI Number | 1073375002
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Entity Type | Organization
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Legal Business Name | KETTEYS EXCHANGE FOR CHILDREN AND WOMEN RESOURCES
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 7001 N SCOTTSDALE RD # C-143
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3658
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Country | US
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Telephone | 602-799-6148
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Fax |
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Provider Business Mailing Address
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Address Line | 7912 N 16TH DR
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City | PHOENIX
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State | AZ
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Zip | 85021-7985
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Country | US
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Telephone | 480-294-2507
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EMELIA K TAGOE OFORI
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Credential |
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Telephone | 602-799-6148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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