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General NPI Number Information
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NPI Number | 1174393052
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Entity Type | Organization
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Legal Business Name | ARISEVIDA CARE LLC
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 4040 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85008-4414
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Country | US
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Telephone | 602-796-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 E MCDOWELL RD STE 113
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City | PHOENIX
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State | AZ
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Zip | 85008-4428
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Country | US
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Telephone | 602-796-3484
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARTHUR ALLAYEV
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Credential |
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Telephone | 602-576-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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