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General NPI Number Information
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NPI Number | 1184446114
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Entity Type | Organization
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Legal Business Name | WESTERN ARIZONA COUNCIL OF GOVERNMENTS
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1235 S. REDONDO CENTER DRIVE
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City | YUMA
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State | AZ
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Zip | 85365-2039
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Country | US
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Telephone | 928-782-1886
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Fax | 928-753-7038
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Provider Business Mailing Address
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Address Line | 1235 S. REDONDO CENTER DRIVE
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City | YUMA
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State | AZ
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Zip | 85365-2039
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Country | US
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Telephone | 928-782-1886
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Fax | 928-753-7038
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BRIAN H BABIARS
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Credential |
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Telephone | 928-782-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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