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General NPI Number Information
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NPI Number | 1356765051
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Entity Type | Organization
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Legal Business Name | CARING CONNECTIONS FOR SPECIAL NEEDS, LLC
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4511 N COMMERCE DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635
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Country | US
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Telephone | 520-508-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 E 22ND ST
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City | TUCSON
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State | AZ
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Zip | 85710-6428
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Country | US
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Telephone | 520-639-9006
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Fax | 520-721-6991
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | REX GLENN
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Credential |
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Telephone | 520-686-0884
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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 | OTC8690
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License Number State | AZ
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