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Organization

AVESIS THIRD PARTY ADMINISTRATORS, LLC

Active
Parent organization
AVESIS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AVESIS, LLC
Authorized official
JENNIFER L MOORE (REGULATORY LICENSE MANAGER)
(207) 356-4244
Entity
Organization

Contact information

Practice address
1275 W WASHINGTON ST STE 102, TEMPE, AZ 85288-1859
(800) 643-1132
Mailing address
1275 W WASHINGTON ST STE 102, TEMPE, AZ 85288-1859
(800) 502-0258

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
07/21/2008
Last updated
10/04/2023
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