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General NPI Number Information
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NPI Number | 1164174728
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Entity Type | Organization
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Legal Business Name | NORTHERN AZ COUNCIL OF GOVERMENTS
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 3003 CENTERPOINTE EAST DR
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City | PRESCOTT
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State | AZ
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Zip | 86301-8492
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Country | US
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Telephone | 928-707-0141
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Fax |
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Provider Business Mailing Address
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Address Line | 5376 CLIMBING ROCK TRL
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City | PRESCOTT
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State | AZ
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Zip | 86301-8468
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Country | US
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Telephone | 928-533-3424
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Fax |
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Authorized Official
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Title or Position | HRIS PROJECTS MANAGER
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Name | SHANNON SHEFFIELD
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Credential |
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Telephone | 928-213-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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