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General NPI Number Information
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NPI Number | 1730475641
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Entity Type | Organization
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Legal Business Name | BREATHE AGAIN COUNSELING, LLC
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 34225 N 27TH DR BLDG 2 STE 110
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City | PHOENIX
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State | AZ
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Zip | 85085-6087
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Country | US
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Telephone | 602-510-0413
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Fax | 602-357-3013
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Provider Business Mailing Address
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Address Line | 23014 N 21ST WAY
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City | PHOENIX
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State | AZ
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Zip | 85024-7514
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Country | US
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Telephone |
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Fax | 602-357-3013
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Authorized Official
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Title or Position | MEMBER
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Name | JANEL FAIRCHILD
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Credential |
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Telephone | 602-510-0413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | L15486256
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License Number State | AZ
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