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General NPI Number Information
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NPI Number | 1487336442
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Entity Type | Organization
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Legal Business Name | DEDICATED ONSITE THERAPY LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 4340 E INDIAN SCHOOL RD STE 21-550
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City | PHOENIX
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State | AZ
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Zip | 85018-9300
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Country | US
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Telephone | 408-644-7443
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Fax | 602-314-7223
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Provider Business Mailing Address
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Address Line | PO BOX 5561
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City | PHOENIX
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State | AZ
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Zip | 85010-5561
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Country | US
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Telephone | 602-224-9790
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAMERON MARSHALL
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Credential |
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Telephone | 408-644-7443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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