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General NPI Number Information
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NPI Number | 1871203463
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Entity Type | Organization
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Legal Business Name | CONNECTIONS SOUTHERNAZ, LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2802 E DISTRICT ST FL 1
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City | TUCSON
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State | AZ
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Zip | 85714-2081
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Country | US
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Telephone | 520-301-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 S 7TH AVE STE 105
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City | PHOENIX
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State | AZ
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Zip | 85007-3913
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Country | US
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Telephone | 602-416-7647
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Fax |
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Authorized Official
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Title or Position | PROVIDER NETWORK MANAGEMENT ASSOC.
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Name | JANICE TALAS-DENNY
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Credential |
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Telephone | 623-273-6154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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