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General NPI Number Information
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NPI Number | 1336083039
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Entity Type | Organization
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Legal Business Name | BK RED MOUNTAIN, LLC.
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 6050 STATE ROUTE 179 STE 8
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City | SEDONA
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State | AZ
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Zip | 86351-7986
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Country | US
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Telephone | 603-353-9102
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Fax | 603-353-9412
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Provider Business Mailing Address
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Address Line | 6050 STATE ROUTE 179 STE 8
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City | SEDONA
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State | AZ
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Zip | 86351-7986
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Country | US
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Telephone | 928-284-2690
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Fax | 928-852-0398
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | ASHLEY BRICKER
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Credential |
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Telephone | 603-353-9102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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