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General NPI Number Information
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NPI Number | 1649105560
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Entity Type | Organization
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Legal Business Name | PHOENIX HAPPY LIVING LLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 7506 S 45TH AVE
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City | LAVEEN
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State | AZ
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Zip | 85339-4296
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Country | US
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Telephone | 602-318-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 7245 N 74TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85303-3046
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Country | US
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Telephone | 602-318-7700
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Fax | 602-318-7700
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Authorized Official
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Title or Position | OWNER
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Name | MILLION AYELE FIREW
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Credential |
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Telephone | 602-318-7700
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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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