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General NPI Number Information
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NPI Number | 1083942098
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Entity Type | Organization
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Legal Business Name | UBH OF PHOENIX LLC
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 3550 EAST PINCHOT AVENUE
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City | PHOENIX
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State | AZ
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Zip | 85018
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Country | US
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Telephone | 602-368-4550
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Fax | 602-368-2598
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Provider Business Mailing Address
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Address Line | 3550 EAST PINCHOT AVE
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City | PHOENIX
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State | AZ
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Zip | 85018
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Country | US
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Telephone | 602-957-4000
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Fax | 602-368-2598
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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