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General NPI Number Information
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NPI Number | 1417143884
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGING, REGION ONE, INCORPORATED
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 1366 E THOMAS RD STE 108
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City | PHOENIX
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State | AZ
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Zip | 85014-5739
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Country | US
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Telephone | 602-264-2255
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Fax | 602-230-9132
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Provider Business Mailing Address
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Address Line | 1366 E THOMAS RD STE 108
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City | PHOENIX
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State | AZ
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Zip | 85014-5739
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Country | US
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Telephone | 602-264-2255
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Fax | 602-230-9132
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. MARY LYNN KASUNIC
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Credential |
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Telephone | 602-264-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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