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General NPI Number Information
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NPI Number | 1952256927
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Entity Type | Organization
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Legal Business Name | BIGSTEP ARIZONA LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 3707 E SOUTHERN AVE STE 1099
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City | MESA
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State | AZ
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Zip | 85206-6209
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Country | US
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Telephone | 800-402-0941
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Fax |
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Provider Business Mailing Address
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Address Line | 3707 E SOUTHERN AVE STE 1099
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City | MESA
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State | AZ
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Zip | 85206-6209
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Country | US
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Telephone | 800-402-0941
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. KENEAPHA RENEE PATTON
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Credential | PRSS
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Telephone | 800-402-0941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 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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