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General NPI Number Information
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NPI Number | 1477921310
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Entity Type | Organization
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Legal Business Name | VALLEY EDUCATION & TREATMENT, LLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 7802 E GRAY RD STE 500
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3494
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Country | US
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Telephone | 480-818-7703
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Fax |
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Provider Business Mailing Address
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Address Line | 7802 E GRAY #500
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2418
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Country | US
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Telephone | 480-818-7703
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ROBIN BYRNE
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Credential | LCSW
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Telephone | 480-881-7703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | OTC7565
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License Number State | AZ
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