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General NPI Number Information
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NPI Number | 1336938257
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Entity Type | Organization
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Legal Business Name | CLARITY LAB LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1680 W IRON SPRINGS RD STE 102
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City | PRESCOTT
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State | AZ
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Zip | 86305-3313
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Country | US
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Telephone | 928-968-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 N SIOUX DR
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-4656
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Country | US
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Telephone | 928-968-4585
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | KATELYNN PERLMAN
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Credential | LPC
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Telephone | 928-968-4585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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