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General NPI Number Information
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NPI Number | 1528994738
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Entity Type | Organization
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Legal Business Name | EMPOWERING THE SPECTRUM LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 3209 S 104TH AVE
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City | TOLLESON
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State | AZ
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Zip | 85353-8410
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Country | US
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Telephone | 623-252-2377
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 W MCDOWELL RD APT 1176
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City | AVONDALE
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State | AZ
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Zip | 85392-4811
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Country | US
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Telephone | 623-252-2377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLIE DOUGLAS
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Credential |
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Telephone | 602-919-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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