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General NPI Number Information
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NPI Number | 1114894474
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO RESILIENCE. LLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 4539 N 22ND STREET STE N
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 928-268-6190
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Fax | 888-756-6597
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Provider Business Mailing Address
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Address Line | 4539 N 22ND STREET STE N
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 928-268-6190
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Fax | 888-756-6597
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Authorized Official
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Title or Position | OWNER
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Name | DWIGHT D FAUGHT
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Credential | DNP
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Telephone | 928-268-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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