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General NPI Number Information
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NPI Number | 1801663729
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Entity Type | Organization
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Legal Business Name | COGNITIVE ASSESSMENT CENTER LLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 64 E BROADWAY RD STE 200
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City | TEMPE
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State | AZ
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Zip | 85282-1377
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Country | US
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Telephone | 480-566-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 5419 S CANYON RIM
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City | MESA
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State | AZ
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Zip | 85212-9112
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Country | US
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Telephone | 973-220-6906
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENDA ARANDA
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Credential | PHD
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Telephone | 480-566-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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