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General NPI Number Information
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NPI Number | 1083207765
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Entity Type | Organization
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Legal Business Name | UNITED STATES VETERANS INITIATIVE - PHOENIX
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Dates
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Enumeration Date | 02/14/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3507 NORTH CENTRAL AVENUE SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85012
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Country | US
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Telephone | 602-717-6682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1410
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City | TOPANGA
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State | CA
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Zip | 90290-1410
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Country | US
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Telephone | 310-382-7556
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE CLINICAL DIRECTOR
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Name | DR. STEPHEN CARL WINSTON
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Credential | PH.D.
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Telephone | 310-382-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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