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General NPI Number Information
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NPI Number | 1801755814
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Entity Type | Organization
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Legal Business Name | ARMS WIDE OPEN AZ, LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 16930 E PALISADES BLVD
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-4006
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Country | US
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Telephone | 833-898-9222
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Fax | 347-222-3895
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Provider Business Mailing Address
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Address Line | 1553 BROADWAY
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City | HEWLETT
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State | NY
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Zip | 11557-1427
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Country | US
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Telephone | 833-898-9222
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Fax | 347-222-3895
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Authorized Official
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Title or Position | COO
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Name | EFRAIM COOPER
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Credential |
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Telephone | 845-521-5407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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