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General NPI Number Information
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NPI Number | 1114852274
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Entity Type | Individual
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Provider Name | ERROLD GLENN ELAD DBH, MA, MS, LAAC
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Gender | Male
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 6811 E THOMAS RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6826
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Country | US
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Telephone | 602-314-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 4424 E BASELINE RD APT 1133
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City | PHOENIX
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State | AZ
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Zip | 85042-7446
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Country | US
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Telephone | 818-325-7446
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LAAC-15651
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License Number State | AZ
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