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General NPI Number Information
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NPI Number | 1538877147
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Entity Type | Organization
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Legal Business Name | P & V WELLNESS
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 9495 E SAN SALVADOR DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5539
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Country | US
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Telephone | 216-832-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 188 E JEFFERSON ST APT 1715
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City | PHOENIX
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State | AZ
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Zip | 85004-2957
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Country | US
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Telephone | 216-832-5630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIA CASH
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Credential |
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Telephone | 216-832-5630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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