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General NPI Number Information
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NPI Number | 1225742505
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Entity Type | Organization
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Legal Business Name | EAST HARMONY POINT
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 4535 S LAKESHORE DR STE 1A
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City | TEMPE
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State | AZ
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Zip | 85282-7046
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Country | US
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Telephone | 602-889-1519
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Fax | 602-702-5671
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Provider Business Mailing Address
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Address Line | 4535 S LAKESHORE DR STE 1A
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City | TEMPE
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State | AZ
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Zip | 85282-7046
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Country | US
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Telephone | 602-889-1519
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Fax | 602-702-5671
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Authorized Official
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Title or Position | SOLE MBR
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Name | VALERIE RICHARDSON
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Credential |
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Telephone | 702-843-9233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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