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General NPI Number Information
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NPI Number | 1487925517
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Entity Type | Organization
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Legal Business Name | ABC WELLNESS CENTRE
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 7219 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6423
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Country | US
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Telephone | 928-708-9615
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Fax | 928-708-1645
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Provider Business Mailing Address
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Address Line | 7219 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6423
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Country | US
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Telephone | 928-708-9615
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Fax | 928-708-1645
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Authorized Official
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Title or Position | INSURANCE ADMINISTRATOR
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Name | JIMMY RIZZO
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Credential |
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Telephone | 928-273-2669
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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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