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General NPI Number Information
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NPI Number | 1669260204
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Entity Type | Individual
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Provider Name | MAX BIEDERMAN
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Gender | Male
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 8454 N 90TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4478
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Country | US
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Telephone | 602-767-7942
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Fax | 855-915-0244
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Provider Business Mailing Address
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Address Line | 1801 E CAMELBACK RD STE 102
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City | PHOENIX
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State | AZ
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Zip | 85016-4165
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Country | US
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Telephone | 602-767-7942
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Fax | 855-915-0244
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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