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General NPI Number Information
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NPI Number | 1063116127
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Entity Type | Organization
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Legal Business Name | AVERYS HOUSE LLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 15843 E PRIMROSE DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3630
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Country | US
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Telephone | 888-672-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 11624 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-5111
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Country | US
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Telephone | 602-694-9643
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | ANDREA STINER
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Credential |
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Telephone | 602-694-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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