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General NPI Number Information
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NPI Number | 1710693643
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Entity Type | Organization
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Legal Business Name | UNIQUE LIFE SKILLS AZ, LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4523
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Country | US
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Telephone | 480-803-6472
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Fax |
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Provider Business Mailing Address
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Address Line | 13210 N 72ND PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3900
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Country | US
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Telephone | 480-390-9937
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MITCHELL STEIMAN
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Credential |
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Telephone | 480-390-9937
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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