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NPI 1568014397

NPI 1568014397 : BEIA'S PLACE : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1568014397
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEIA'S PLACE 
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Dates
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    Enumeration Date     |    07/11/2019
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    7225 S 2ND GLN 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85041-7142
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    Country              |    US
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    Telephone            |    602-276-5039
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    Fax                  |    602-296-0125
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Provider Business Mailing Address
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    Address Line         |    2030 W BASELINE RD STE 182-749 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85041-6574
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    Country              |    US
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    Telephone            |    877-319-9068
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    Fax                  |    602-296-0125
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. RABEIA H MCCRAY 
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    Credential           |    
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    Telephone            |    602-301-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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