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General NPI Number Information
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NPI Number | 1184354532
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Entity Type | Organization
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Legal Business Name | I AM WELLNESS AZ LLC
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1616 E INDIAN SCHOOL RD STE 135
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City | PHOENIX
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State | AZ
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Zip | 85016-8610
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Country | US
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Telephone | 480-900-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 202 E EARLL DR STE 360
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City | PHOENIX
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State | AZ
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Zip | 85012-2677
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Country | US
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Telephone | 601-324-0793
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Fax | 480-779-1277
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MS. CLAIRE BROWN
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Credential |
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Telephone | 602-492-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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