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NPI 1205435146

NPI 1205435146 : ARIZONA OT SOLUTIONS LLC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1205435146
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARIZONA OT SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    10/21/2020
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    Last Update Date     |    10/21/2020
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Provider Practice Location Address
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    Address Line         |    7450 W. KAREN LEE LANE 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85382
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    Country              |    US
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    Telephone            |    602-318-9526
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7450 W. KAREN LEE LANE 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85382
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    Country              |    US
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    Telephone            |    602-318-9526
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. JOANNE  CAMPANELLI 
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    Credential           |    
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    Telephone            |    602-318-9526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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