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General NPI Number Information
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NPI Number | 1164230983
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Entity Type | Organization
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Legal Business Name | ARUKAH LIVING LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 319 N 2ND AVE
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City | AVONDALE
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State | AZ
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Zip | 85323-1807
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Country | US
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Telephone | 602-918-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 W SWEET PEA TER
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City | LAVEEN
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State | AZ
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Zip | 85339-5430
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Country | US
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Telephone | 480-925-9065
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. EBONI WORSLEY
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Credential |
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Telephone | 480-925-9065
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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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