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General NPI Number Information
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NPI Number | 1235094525
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Entity Type | Organization
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Legal Business Name | HEARTS TURN HEALING AND RECOVERY LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 515 W BUCKEYE RD
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City | PHOENIX
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State | AZ
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Zip | 85003-2647
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Country | US
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Telephone | 602-814-2794
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 E MYRTLE AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-5639
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Country | US
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Telephone | 602-814-2794
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YUSOUF ATALLA
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Credential |
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Telephone | 602-814-2794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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