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General NPI Number Information
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NPI Number | 1235362757
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Entity Type | Organization
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Legal Business Name | POSITIVE CHANGES COUNSELING & CONSULTING PC.
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 7920 E THOMPSON PEAK PKWY #100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7402
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Country | US
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Telephone | 602-400-0800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 545
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-0545
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Country | US
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Telephone | 602-400-0800
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Fax | 480-237-9643
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. JASON MOORE
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Credential |
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Telephone | 602-400-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | AZ
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