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General NPI Number Information
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NPI Number | 1508643651
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Entity Type | Organization
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Legal Business Name | ABUNDANT HUMAN SERVICES
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 22371 N ROBERTSON CT
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City | SURPRISE
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State | AZ
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Zip | 85387
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Country | US
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Telephone | 781-552-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 22371 N ROBERTSON CT
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City | SURPRISE
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State | AZ
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Zip | 85387
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Country | US
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Telephone | 781-552-6170
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHEILA NALUJJA
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Credential |
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Telephone | 178-155-2617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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