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General NPI Number Information
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NPI Number | 1700664711
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Entity Type | Organization
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Legal Business Name | PJ HEALTH LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 14820 N CAVE CREEK RD STE 2
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City | PHOENIX
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State | AZ
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Zip | 85032-4951
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Country | US
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Telephone | 833-242-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 25716 N SANDSTONE WAY
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City | SURPRISE
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State | AZ
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Zip | 85387-6839
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Country | US
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Telephone | 623-845-2528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAOLA RIVERA
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Credential |
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Telephone | 623-845-2528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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