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General NPI Number Information
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NPI Number | 1164123782
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Entity Type | Organization
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Legal Business Name | MARC COMMUNITY RESOURCES, INC
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 5448 STATE ROUTE 260 SUITE 200
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City | LAKESIDE
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State | AZ
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Zip | 85929
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Country | US
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Telephone | 928-248-8316
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Fax |
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Provider Business Mailing Address
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Address Line | 924 N COUNTRY CLUB DR
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City | MESA
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State | AZ
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Zip | 85201-4108
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Country | US
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Telephone | 480-969-3800
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Fax |
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Authorized Official
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Title or Position | VP, REVENUE OPTIMIZATION
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Name | JENNIFER ANN BARRETT
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Credential |
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Telephone | 480-969-3800
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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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