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General NPI Number Information
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NPI Number | 1164221115
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Entity Type | Organization
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Legal Business Name | PHOENIX STAR BEHAVIORAL HEALTHCARE LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 407 W TAMARACK DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7073
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Country | US
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Telephone | 480-202-1674
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Fax |
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Provider Business Mailing Address
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Address Line | 28068 N ADRENALINE AVE
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-6467
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Country | US
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Telephone | 602-341-0123
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | ANEIKA FALCONER
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Credential |
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Telephone | 602-341-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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