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General NPI Number Information
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NPI Number | 1225321177
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Entity Type | Organization
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Legal Business Name | UPWARD FOUNDATION
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 7800 N 59TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-7861
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Country | US
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Telephone | 602-279-5801
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Fax | 602-279-0033
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Provider Business Mailing Address
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Address Line | 6306 N 7TH ST
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City | PHOENIX
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State | AZ
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Zip | 85014-1549
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Country | US
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Telephone | 602-279-5801
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Fax | 602-279-0033
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JONATHAN SMITH
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Credential |
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Telephone | 602-279-5801
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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