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General NPI Number Information
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NPI Number | 1427834456
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Entity Type | Organization
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Legal Business Name | HEALING CIRCLE LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 6835 E CAMELBACK RD UNIT 1115
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3162
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Country | US
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Telephone | 318-773-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 N SCOTTSDALE RD UNIT 10548
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City | SCOTTSDALE
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State | AZ
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Zip | 85271-3785
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ANTHONY SARANDREA
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Credential |
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Telephone | 602-826-0452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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