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General NPI Number Information
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NPI Number | 1427286319
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Entity Type | Organization
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Legal Business Name | THE THERAPUETIC ART OF HORSEMANSHIP
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 12551 S OX CART TRL
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City | VAIL
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State | AZ
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Zip | 85641-9033
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Country | US
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Telephone | 520-664-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 12551 S OX CART TRL
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City | VAIL
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State | AZ
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Zip | 85641-9033
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Country | US
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Telephone | 520-664-5606
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. DENISE MICHELLE COX
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Credential | MA, LPC, EAP
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Telephone | 520-838-4116
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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 |
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License Number State |
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