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General NPI Number Information
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NPI Number | 1518648336
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Entity Type | Organization
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Legal Business Name | CHEMICHEMI FAMILY LIFE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 10240 W BELL RD
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City | SUN CITY
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State | AZ
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Zip | 85351-1153
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Country | US
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Telephone | 623-213-8192
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 W BELL RD
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City | SUN CITY
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State | AZ
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Zip | 85351-1153
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Country | US
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Telephone | 623-213-8192
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA KIMANI
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Credential | BSN/RN
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Telephone | 623-866-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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