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General NPI Number Information
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NPI Number | 1629692025
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Entity Type | Organization
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Legal Business Name | A HOME 4 U TRANSITIONAL HOUSING
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 18474 E KINGBIRD DR
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5118
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Country | US
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Telephone | 702-279-7503
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Fax |
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Provider Business Mailing Address
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Address Line | 818 APPLEBLOSSOM TIME AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89031-2376
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Country | US
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Telephone | 702-279-7503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | GWENDOLYN BELL
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Credential |
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Telephone | 702-279-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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