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General NPI Number Information
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NPI Number | 1548513526
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Entity Type | Organization
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Legal Business Name | POSITIVE PURSUITS, LLC
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 4321 W THUNDER RANCH PL
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City | MARANA
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State | AZ
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Zip | 85658-4740
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Country | US
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Telephone | 520-401-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 W THUNDER RANCH PL
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City | MARANA
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State | AZ
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Zip | 85658-4740
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Country | US
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Telephone | 520-401-1663
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ANTHONY VILLARI
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Credential | CPA
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Telephone | 520-401-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA-58
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License Number State | AZ
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