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General NPI Number Information
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NPI Number | 1659255859
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Entity Type | Organization
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Legal Business Name | THE HEALTHY PLACE PLLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2942 N 24TH ST. STE 115 PMB 818048
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City | PHOENIX
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State | AZ
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Zip | 85016
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Country | US
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Telephone | 602-603-7375
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Fax | 602-563-8218
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Provider Business Mailing Address
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Address Line | 18017 W MONTEBELLO AVE
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-2573
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Country | US
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Telephone | 586-612-0476
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Fax | 602-563-8218
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Authorized Official
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Title or Position | CO-OWNER
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Name | TYLER ANDERSON
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Credential |
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Telephone | 586-612-0476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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