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General NPI Number Information
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NPI Number | 1083003677
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Entity Type | Organization
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Legal Business Name | FAMILY & FRIENDS TOGETHER, INC
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1195 S 5TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-3839
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Country | US
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Telephone | 602-694-9649
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Fax | 623-977-3374
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Provider Business Mailing Address
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Address Line | PO BOX 750
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City | YOUNGTOWN
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State | AZ
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Zip | 85363-9998
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Country | US
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Telephone | 602-694-9649
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Fax | 623-977-3374
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CYNTHIA FULLEN
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Credential |
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Telephone | 602-694-9649
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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 | CSA14ADHS0215 1
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License Number State | AZ
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