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General NPI Number Information
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NPI Number | 1245019371
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Entity Type | Organization
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Legal Business Name | TUSA NGEFOR BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 450 W ADAMSVILLE RD
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City | FLORENCE
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State | AZ
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Zip | 85132-8582
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Country | US
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Telephone | 623-433-5236
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Fax |
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Provider Business Mailing Address
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Address Line | 3338 W SILVERDALE RD
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City | SAN TAN VLY
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State | AZ
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Zip | 85144-1673
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Country | US
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Telephone | 901-273-5064
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NATALIE ABO TAMASANG-ANAGHO
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Credential |
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Telephone | 901-273-5064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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