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General NPI Number Information
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NPI Number | 1659227668
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Entity Type | Organization
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Legal Business Name | SAMMAH BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 4480 W PEORIA AVE STE 201-202
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City | GLENDALE
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State | AZ
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Zip | 85302-2038
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Country | US
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Telephone | 602-515-4084
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S 7TH ST
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City | AVONDALE
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State | AZ
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Zip | 85323
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Country | US
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Telephone | 602-515-4084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUSTAPHA TARAWALY
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Credential |
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Telephone | 214-432-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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