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General NPI Number Information
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NPI Number | 1427402478
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Entity Type | Organization
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Legal Business Name | RADIANT HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 10010 N 52ND ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1022
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Country | US
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Telephone | 480-366-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 10010 N 52ND ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1022
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Country | US
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Telephone | 480-366-4580
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER/OWNER
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Name | DR. SUE ROSARIO BEITEL
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Credential | NMD
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Telephone | 480-364-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 14-1439
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License Number State | AZ
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