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General NPI Number Information
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NPI Number | 1184315640
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Entity Type | Organization
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Legal Business Name | IRONWOOD BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 8124 E CACTUS RD STE 410
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5262
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Country | US
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Telephone | 602-910-4050
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Fax | 480-885-1985
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Provider Business Mailing Address
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Address Line | 8041 E WHISPERING WIND DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-2839
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Country | US
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Telephone | 480-767-3599
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. DAVID WILLIAM LEICKEN JR.
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Credential | MD
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Telephone | 602-910-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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