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General NPI Number Information
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NPI Number | 1750788667
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Entity Type | Organization
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Legal Business Name | CARONDELET HEALTH NETWORK
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 1601 W SAINT MARYS RD
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City | TUCSON
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State | AZ
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Zip | 85745-2623
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Country | US
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Telephone | 520-872-2058
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Fax | 520-872-2049
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Provider Business Mailing Address
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Address Line | 2202 N FORBES BLVD ATTN: MANAGED CARE
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City | TUCSON
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State | AZ
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Zip | 85745-1412
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Country | US
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Telephone | 520-872-7700
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Fax | 520-872-7246
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Authorized Official
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Title or Position | EVP/CHIEF FINANCIAL OFFICER
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Name | MR. ALAN STRAUSS
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Credential |
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Telephone | 520-872-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | H0011
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License Number State | AZ
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