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General NPI Number Information
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NPI Number | 1336210384
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Entity Type | Organization
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Legal Business Name | TRIPLE R BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 725 W APACHE TRL #10
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City | APACHE JUNCTION
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State | AZ
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Zip | 85220-3958
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Country | US
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Telephone | 480-288-0850
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Fax | 480-288-1332
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Provider Business Mailing Address
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Address Line | 40 E MITCHELL DR SUITE 100
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City | PHOENIX
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State | AZ
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Zip | 85012-2330
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Country | US
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Telephone | 602-995-7474
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Fax | 602-973-2993
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. WAYNE E. HOCHSTRASSER
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Credential |
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Telephone | 602-995-7474
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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 | BH3265
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License Number State | AZ
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