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General NPI Number Information
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NPI Number | 1972988657
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Entity Type | Organization
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Legal Business Name | TERROS, INC
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1642 S PRIEST DR BLDG. 6 STE. 101
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City | TEMPE
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State | AZ
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Zip | 85281-6204
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Country | US
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Telephone | 602-685-6000
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Fax | 480-731-1066
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Provider Business Mailing Address
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Address Line | 3003 N CENTRAL AVE STE 400
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City | PHOENIX
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State | AZ
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Zip | 85012-2929
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Country | US
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Telephone | 602-685-6000
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Fax | 602-302-7925
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. KAREN HOFFMAN TEPPER
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Credential |
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Telephone | 602-685-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OTC-7229
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number | OTC-7229
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | OTC-7229
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License Number State | AZ
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