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General NPI Number Information
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NPI Number | 1346188604
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Entity Type | Organization
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Legal Business Name | SORENA HEALTH, LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 520-447-1606
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Fax | 520-244-3835
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Provider Business Mailing Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 520-447-1606
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Fax | 520-244-3835
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Authorized Official
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Title or Position | CEO
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Name | MR. BRANDON TOBIN
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Credential |
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Telephone | 520-447-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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