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General NPI Number Information
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NPI Number | 1740673581
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Entity Type | Organization
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Legal Business Name | RENEWED HOPE AND RECOVERY
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 2204 W SOUTHERN AVE
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City | TEMPE
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State | AZ
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Zip | 85282-4346
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Country | US
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Telephone | 928-551-1360
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Fax |
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Provider Business Mailing Address
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Address Line | 7002 E CORTEZ DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5123
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Country | US
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Telephone | 928-551-1360
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Fax |
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | KALANDRA HILAIRE
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Credential |
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Telephone | 928-551-1360
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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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