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General NPI Number Information
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NPI Number | 1194368852
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Entity Type | Organization
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Legal Business Name | RELIEVE MEDICAL DETOX
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 7281 E EARLL DR STE A4
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7213
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Country | US
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Telephone | 480-549-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 7283 E EARLL DR BUILDING B SUITE 1
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-549-2220
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING AND OPERATIONS
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Name | MELANIE FRENCH
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Credential | RN
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Telephone | 480-549-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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