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General NPI Number Information
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NPI Number | 1184455040
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Entity Type | Organization
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Legal Business Name | TERROS, INC.
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 3222 N 37TH ST
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City | PHOENIX
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State | AZ
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Zip | 85018-6304
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Country | US
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Telephone | 602-685-6000
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Fax | 602-302-7925
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Provider Business Mailing Address
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Address Line | 3003 N CENTRAL AVE STE 400
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City | PHOENIX
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State | AZ
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Zip | 85012-2929
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Country | US
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Telephone | 602-685-6000
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Fax | 602-302-7925
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KAREN HOFFMAN TEPPER
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Credential | PHD
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Telephone | 602-685-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable 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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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