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Organization
A A MEDICINE
Active
Organization
A A MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE ROBINSON (BILLING COORDINATOR)
(480) 456-0285
Entity
Organization
Contact information
Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 456-0285
(480) 456-9580
Mailing address
PO BOX 26728, TEMPE, AZ 85285-6728
(480) 456-0285
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256257
—
AZ
Enumeration date
05/22/2008
Last updated
05/22/2008
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