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General NPI Number Information
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NPI Number | 1366905549
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE RECOVERY II, LLC
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 11024 N MILLER RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6420
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Country | US
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Telephone | 602-346-9142
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5943
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City | SCOTTSDALE
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State | AZ
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Zip | 85261-5943
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Country | US
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Telephone | 804-667-7734
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Fax | 480-739-6116
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE SIWEK
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Credential |
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Telephone | 480-699-9044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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