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General NPI Number Information
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NPI Number | 1861186272
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Entity Type | Organization
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Legal Business Name | NEW VISION EDUCATIONAL DEVELOPMENT
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 5209 W POINSETTIA DR
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City | GLENDALE
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State | AZ
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Zip | 85304-2715
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Country | US
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Telephone | 213-822-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 5209 W POINSETTIA DR
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City | GLENDALE
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State | AZ
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Zip | 85304-2715
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Country | US
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Telephone | 213-822-6967
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BOYER ASWAN CROSS
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Credential | PHD
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Telephone | 213-822-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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