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General NPI Number Information
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NPI Number | 1225901267
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Entity Type | Organization
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Legal Business Name | CATHOLIC COMMUNITY SERVICES - SIERRA VISTA
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 6049 E HWY 90
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-9194
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Country | US
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Telephone | 520-459-1285
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Fax | 520-770-8578
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Provider Business Mailing Address
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Address Line | 268 W ADAMS ST.
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City | TUCSON
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State | AZ
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Zip | 85705-6534
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Country | US
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Telephone | 520-623-0344
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Fax | 520-770-8578
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. TERRY RANDOLPH
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Credential | LPC
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Telephone | 520-975-5920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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