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General NPI Number Information
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NPI Number | 1174217137
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Entity Type | Organization
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Legal Business Name | DANIELS CREEK GROUP, LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 400 W FRY BLVD STE 13
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-1760
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Country | US
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Telephone | 520-504-7714
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Fax | 520-378-5179
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Provider Business Mailing Address
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Address Line | 3499 CANYON DE FLORES STE A
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City | SIERRA VISTA
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State | AZ
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Zip | 85650-5336
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Country | US
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Telephone | 541-252-8775
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | ROBIN FINNEY
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Credential | PMHNP-BC
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Telephone | 541-252-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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