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General NPI Number Information
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NPI Number | 1598639817
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Entity Type | Organization
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Legal Business Name | PALM VIEW HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 15267 W ELM ST
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City | GOODYEAR
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State | AZ
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Zip | 85395-7727
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Country | US
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Telephone | 928-583-4878
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Fax | 480-522-3665
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Provider Business Mailing Address
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Address Line | 15267 W ELM ST
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City | GOODYEAR
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State | AZ
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Zip | 85395-7727
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Country | US
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Telephone | 928-583-4878
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Fax | 480-522-3665
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Authorized Official
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Title or Position | CEO
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Name | MR. BRYAN SCOTT HULLIHEN JR.
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Credential |
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Telephone | 928-583-4878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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