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General NPI Number Information
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NPI Number | 1386749836
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Entity Type | Organization
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Legal Business Name | PHOENIX CHILDREN'S HOSPITAL HOPE
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1919 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7710
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Country | US
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Telephone | 602-933-4673
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Fax | 602-933-1658
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Provider Business Mailing Address
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Address Line | 1919 E THOMAS RD BLDG 2108, STE 101
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City | PHOENIX
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State | AZ
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Zip | 85016-7710
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Country | US
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Telephone | 602-512-8029
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Fax | 602-512-8161
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Authorized Official
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Title or Position | SVP, MANAGED CARE & PAYOR STRATEGY
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Name | RAHEEL FAROUGH
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Credential |
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Telephone | 602-933-3548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | Y001644
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License Number State | AZ
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