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General NPI Number Information
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NPI Number | 1083594642
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Entity Type | Organization
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Legal Business Name | ARIZONA PHYSICIANS GROUP
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 16872 E AVENUE OF THE FOUNTAINS STE 203
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8314
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Country | US
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Telephone | 800-715-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 16872 E AVENUE OF THE FOUNTAINS STE 203
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MA
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Name | CHARISE PALMROTH
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Credential |
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Telephone | 480-476-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 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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