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General NPI Number Information
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NPI Number | 1609118181
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Entity Type | Organization
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Legal Business Name | ARIZONA COOPERATIVE THERAPIES
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 99 E. VIRGINIA AVENUE STE. 200
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City | PHOENIX
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State | AZ
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Zip | 85004
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Country | US
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Telephone | 602-547-1111
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Fax | 602-296-0226
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Provider Business Mailing Address
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Address Line | 99 E. VIRGINIA AVENUE STE. 200
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City | PHOENIX
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State | AZ
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Zip | 85004
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Country | US
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Telephone | 602-547-1111
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Fax | 602-296-0226
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. LEO WILLIAM HUPPERT III
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Credential |
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Telephone | 602-547-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4306
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | AZ
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