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General NPI Number Information
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NPI Number | 1992627533
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Entity Type | Organization
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Legal Business Name | JUNEBUG KIDZ AZ, L.L.C.
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1101 N GILBERT RD APT 1107
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City | GILBERT
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State | AZ
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Zip | 85234-8611
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Country | US
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Telephone | 602-812-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 N GILBERT RD APT 1107
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City | GILBERT
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State | AZ
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Zip | 85234-8611
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Country | US
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Telephone | 602-812-0526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DIANA L ALLEN
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Credential | SLPA
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Telephone | 602-812-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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