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General NPI Number Information
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NPI Number | 1154574150
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Entity Type | Organization
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Legal Business Name | POSITIVE OPTIONS, INC.
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 141 S MCCORMICK ST SUITE 103
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City | PRESCOTT
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State | AZ
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Zip | 86303-4729
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Country | US
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Telephone | 928-778-2925
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Fax | 602-357-4399
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Provider Business Mailing Address
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Address Line | 141 S MCCORMICK ST SUITE 103
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City | PRESCOTT
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State | AZ
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Zip | 86303-4729
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Country | US
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Telephone | 928-778-2925
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Fax | 602-357-4399
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH H KASNER
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Credential | PHD
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Telephone | 928-778-2925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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