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General NPI Number Information
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NPI Number | 1255841995
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Entity Type | Organization
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Legal Business Name | RESILIENT HEALTH, INC.
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 3271 E QUEEN CREEK RD
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City | GILBERT
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State | AZ
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Zip | 85297-8508
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Country | US
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Telephone | 480-550-3193
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Fax | 480-550-3194
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Provider Business Mailing Address
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Address Line | 2255 W NORTHERN AVE STE B100
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City | PHOENIX
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State | AZ
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Zip | 85021-4936
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Country | US
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Telephone | 602-995-1767
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Fax | 602-995-1863
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Authorized Official
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Title or Position | COO
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Name | KIMBERLY QUIROS
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Credential |
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Telephone | 602-995-1767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | OTC8455
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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