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General NPI Number Information
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NPI Number | 1457645038
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Entity Type | Organization
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Legal Business Name | PATHWAYS OF ARIZONA, LLC
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3818 W 16TH ST BLDG 5
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City | YUMA
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State | AZ
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Zip | 85364-4107
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Country | US
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Telephone | 928-317-0177
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Fax | 928-783-0522
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Provider Business Mailing Address
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Address Line | 1161 N EL DORADO PL STE 203
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City | TUCSON
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State | AZ
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Zip | 85715-4607
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Country | US
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Telephone | 520-748-7108
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Fax | 520-745-0638
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Authorized Official
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Title or Position | CONTRACTS ADMINSTRATOR
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Name | NANCY POE
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Credential |
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Telephone | 520-570-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | OTC6975
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License Number State | AZ
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