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General NPI Number Information
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NPI Number | 1063219467
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Entity Type | Organization
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Legal Business Name | ADDICTION TREATMENT SERVICES DBA FAMILY FIRST INTERVENTION
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1838 W PARKSIDE LN STE 210
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City | PHOENIX
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State | AZ
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Zip | 85027-1371
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Country | US
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Telephone | 312-965-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 W PARKSIDE LN STE 210
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City | PHOENIX
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State | AZ
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Zip | 85027-1371
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Country | US
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Telephone | 312-965-4877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL T. LOVERDE
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Credential | MHS, CIP
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Telephone | 312-965-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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