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NPI Code Detail

MEDICARE: CARRIE MUNI

MEDICARE: CARRIE MUNI
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
1235Z00000XSpeech-Language PathologistSLP0954AZ

General Provider Information

NPI Number : 1619190477
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE MUNI
Provider Business Mailing Address
First Line : 3819 E CAMELBACK RD
Second Line : #287
City : PHOENIX
State : AZ
Zip : 85018-2647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6218 S 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4211
Country : US
Telephone Number : 602-243-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ CARRIE MUNI ” Practice Location

Language Start Address Practice Location
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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