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General NPI Number Information
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NPI Number | 1699357467
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Entity Type | Organization
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Legal Business Name | PS CLINICS, LLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 3724 N 3RD ST. SUITE 301
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City | PHOENIX
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State | AZ
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Zip | 85012-2035
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Country | US
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Telephone | 480-332-4222
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Fax | 602-237-5186
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Provider Business Mailing Address
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Address Line | 3724 N 3RD ST. SUITE 301
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City | PHOENIX
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State | AZ
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Zip | 85012-2035
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Country | US
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Telephone | 480-332-4222
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Fax | 602-237-5186
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | MRS. JACKIE JEFFRIES
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Credential | CRC
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Telephone | 480-656-7328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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