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General NPI Number Information
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NPI Number | 1508760638
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Entity Type | Organization
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Legal Business Name | AZ BE WELL PLLC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 7923 E KIOWA AVE
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City | MESA
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State | AZ
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Zip | 85209-5019
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Country | US
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Telephone | 602-796-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 7923 E KIOWA AVE
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City | MESA
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State | AZ
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Zip | 85209-5019
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Country | US
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Telephone | 602-796-6442
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | MARIA BLAHUT
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Credential | LAC
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Telephone | 602-796-6442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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