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General NPI Number Information
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NPI Number | 1407513690
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Entity Type | Organization
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Legal Business Name | ROSS & PERRY LLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 14050 N 83RD AVE STE 290
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City | PEORIA
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State | AZ
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Zip | 85381-5650
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Country | US
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Telephone | 623-866-3375
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Fax | 623-469-6441
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Provider Business Mailing Address
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Address Line | 14050 N 83RD AVE STE 290
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City | PEORIA
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State | AZ
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Zip | 85381-5650
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Country | US
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Telephone | 623-866-3375
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Fax | 623-469-6441
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. MICHAEL A WHITE
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Credential | LPC
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Telephone | 623-866-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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 |
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