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General NPI Number Information
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NPI Number | 1124760327
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH BEHAVIOR HEALTH LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 993 W PAGODA AVE
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-3527
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Country | US
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Telephone | 480-499-2822
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Fax | 480-522-1765
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Provider Business Mailing Address
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Address Line | 32954 N PEBBLE CREEK DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-3410
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Country | US
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Telephone | 480-742-0310
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ENOCH AMOAH
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Credential |
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Telephone | 480-742-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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