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General NPI Number Information
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NPI Number | 1215852066
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Entity Type | Organization
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Legal Business Name | ASU PREPARATORY ACADEMY
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 1130 E UNIVERSITY DR STE 230
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City | TEMPE
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State | AZ
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Zip | 85288-8402
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Country | US
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Telephone | 480-727-2435
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 E UNIVERSITY DR STE 230
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City | TEMPE
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State | AZ
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Zip | 85288-8402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ESS PROGRAM MANAGER
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Name | KRYSTLE ROSALES
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Credential |
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Telephone | 480-264-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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