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General NPI Number Information
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NPI Number | 1265202501
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Entity Type | Organization
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Legal Business Name | NATIVE STRENGTH NETWORK
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 375 SAN CARLOS AVENUE
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City | SAN CARLOS
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State | AZ
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Zip | 85542
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Country | US
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Telephone | 928-605-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 19415 N 108TH AVE
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City | SUN CITY
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State | AZ
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Zip | 85373-3367
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Country | US
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Telephone | 262-933-7685
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ANDREA L. SEMMANN
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Credential | MBA
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Telephone | 262-933-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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