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General NPI Number Information
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NPI Number | 1558151704
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Entity Type | Organization
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Legal Business Name | HEALTHY FAMILIES CLINIC
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 810 N 6TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85003-1318
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Country | US
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Telephone | 602-617-3349
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Fax |
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Provider Business Mailing Address
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Address Line | 925 W GREGORY RD
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City | PHOENIX
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State | AZ
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Zip | 85041-2321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | DR. HEATHER RYAN
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Credential | DNP
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Telephone | 602-617-3349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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