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General NPI Number Information
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NPI Number | 1548144439
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Entity Type | Organization
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Legal Business Name | RITE OF PASSAGE, INC.
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2737 W SOUTHERN AVE STE 8
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City | TEMPE
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State | AZ
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Zip | 85282-4244
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Country | US
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Telephone | 480-999-1190
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Fax | 602-425-5626
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Provider Business Mailing Address
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Address Line | 20275 E RITTENHOUSE RD STE 105
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-1661
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MARANDA FIGULI
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Credential |
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Telephone | 480-987-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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