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General NPI Number Information
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NPI Number | 1780936807
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Entity Type | Organization
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Legal Business Name | ARIZONA BUSINESS & CAREER DEVELOPMENT LLC
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 3418 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5113
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Country | US
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Telephone | 602-888-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 S 52ND DR
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City | PHOENIX
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State | AZ
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Zip | 85043-1771
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Country | US
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Telephone | 602-888-7191
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RANDY MALLARI
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Credential | NCPT4, CPI, BHT
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Telephone | 602-888-7191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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