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NPI Code Detail

MEDICARE: ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND

MEDICARE: ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)544355AZ

General Provider Information

NPI Number : 1366597064
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND
Provider Business Mailing Address
First Line : PO BOX 88510
Second Line :
City : TUCSON
State : AZ
Zip : 85754-8510
Country : US
Telephone Number : 520-770-3707
Fax Number : 520-770-3011
Provider Business Practice Location Address
First Line : 1200 W SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2326
Country : US
Telephone Number : 520-770-3707
Fax Number : 520-770-3011
Authorized Official
Title or Position : FISCAL SERVICES SPECIALIST I
Name : AUDREY LARSEN
Credential :
Telephone Number : 520-770-3707
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

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Directions to “ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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