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General NPI Number Information
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NPI Number | 1780546374
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Entity Type | Organization
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Legal Business Name | IRISCARE LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 15380 W FILLMORE ST APT 3039
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City | GOODYEAR
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State | AZ
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Zip | 85338-4679
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Country | US
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Telephone | 602-726-5759
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Fax |
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Provider Business Mailing Address
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Address Line | 15380 W FILLMORE ST APT 3039
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City | GOODYEAR
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State | AZ
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Zip | 85338-4679
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Country | US
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Telephone | 602-726-5759
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KENDRA ROBINSON
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Credential |
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Telephone | 714-328-8260
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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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