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General NPI Number Information
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NPI Number | 1245047737
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Entity Type | Organization
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Legal Business Name | VISIT HEALTHCARE
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1250 E BASELINE RD STE 105
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City | TEMPE
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State | AZ
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Zip | 85283-1439
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Country | US
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Telephone | 650-331-0134
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 E BASELINE RD STE 105
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City | TEMPE
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State | AZ
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Zip | 85283-1439
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ZAHID KHALID
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Credential |
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Telephone | 469-998-9114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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