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General NPI Number Information
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NPI Number | 1629300702
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Entity Type | Organization
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Legal Business Name | PIMA PREVENTION PARTNERSHIP
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 1346 N STONE AVE
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City | TUCSON
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State | AZ
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Zip | 85705-7338
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Country | US
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Telephone | 520-326-2528
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Fax | 520-326-2527
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Provider Business Mailing Address
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Address Line | 3130 E BROADWAY BLVD SUITE 180
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City | TUCSON
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State | AZ
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Zip | 85716-5863
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Country | US
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Telephone | 520-791-2711
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Fax | 520-791-2202
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. HARRY KRESSLER
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Credential |
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Telephone | 520-791-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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