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General NPI Number Information
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NPI Number | 1952542078
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Entity Type | Organization
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Legal Business Name | SOUTHWEST NETWORK, INC.
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3227 E BELL RD SUITE 170
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City | PHOENIX
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State | AZ
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Zip | 85032-2700
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Country | US
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Telephone | 602-652-3500
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Fax | 602-652-3582
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Provider Business Mailing Address
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Address Line | 2700 N CENTRAL AVE SUITE 1050
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City | PHOENIX
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State | AZ
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Zip | 85004-1133
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Country | US
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Telephone | 602-266-8402
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Fax | 602-264-0887
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. AMY B. HENNING
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Credential |
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Telephone | 602-285-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | OTC6421
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | OTC6421
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License Number State | AZ
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