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General NPI Number Information
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NPI Number | 1487517736
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Entity Type | Organization
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Legal Business Name | A1 INTEGRATIVE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1825 E NORTHERN AVE STE 100
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City | PHOENIX
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State | AZ
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Zip | 85020-3953
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Country | US
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Telephone | 602-214-9950
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Fax | 480-956-0844
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Provider Business Mailing Address
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Address Line | 1825 E NORTHERN AVE STE 100
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City | PHOENIX
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State | AZ
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Zip | 85020-3953
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Country | US
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Telephone | 602-214-9950
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Fax | 480-956-0844
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Authorized Official
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Title or Position | OWNER
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Name | NATHIAN MYERS
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Credential |
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Telephone | 480-881-5036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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