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General NPI Number Information
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NPI Number | 1316730187
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Entity Type | Organization
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Legal Business Name | CONFIANZA HEALTHCARE
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 919 N DYSART RD STE F
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City | AVONDALE
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State | AZ
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Zip | 85323-1711
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Country | US
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Telephone | 623-439-7472
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Fax | 623-439-7349
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-0129
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Country | US
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Telephone | 623-439-7472
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELIAS MORAN
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Credential | LPC
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Telephone | 623-466-4159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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