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General NPI Number Information
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NPI Number | 1225260441
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Entity Type | Organization
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Legal Business Name | ALL ABOUT KIDS
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 12116 W DAHLIA DR
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City | EL MIRAGE
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State | AZ
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Zip | 85335-4339
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Country | US
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Telephone | 480-228-9510
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Fax |
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Provider Business Mailing Address
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Address Line | 543 E BRIDGEPORT PKWY
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City | GILBERT
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State | AZ
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Zip | 85295-5925
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Country | US
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Telephone | 480-228-9510
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHAEL R NOYD
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Credential |
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Telephone | 480-228-9510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | BH-3032
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License Number State | AZ
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