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General NPI Number Information
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NPI Number | 1467725481
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Entity Type | Organization
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Legal Business Name | HORSE PLAY NOW, L.L.C.
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 2940 W. JOY RANCH RD
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City | PHOENIX
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State | AZ
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Zip | 85086
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Country | US
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Telephone | 602-628-9907
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271 3655 W ANTHEM WAY SUITE A-109
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City | ANTHEM
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State | AZ
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Zip | 85086
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Country | US
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Telephone | 602-628-9907
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. JAMIE ISABELLE WILLIAMS
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Credential |
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Telephone | 602-628-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC11993
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License Number State |
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