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General NPI Number Information
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NPI Number | 1407028145
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Entity Type | Organization
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Legal Business Name | AIN COUNSELING
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 2450 S 4TH AVE STE 208
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City | YUMA
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State | AZ
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Zip | 85364-8589
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Country | US
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Telephone | 928-783-1505
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Fax | 928-783-1038
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Provider Business Mailing Address
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Address Line | 2450 S 4TH AVE STE 208
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City | YUMA
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State | AZ
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Zip | 85364-8589
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Country | US
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Telephone | 928-783-1505
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Fax | 928-783-1038
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICARDO CONTRERAS
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Credential | C.D.V.F.
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Telephone | 928-783-1505
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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 | BH-2994
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License Number State | AZ
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