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General NPI Number Information
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NPI Number | 1750109385
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Entity Type | Organization
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Legal Business Name | RESILIENT LIFE INTEGRATIVE HEALTH CARE LLC R E L I H C
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 7000 N COTTON LN UNIT 450
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City | WADDELL
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State | AZ
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Zip | 85355-8018
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Country | US
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Telephone | 623-252-6576
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Fax | 623-232-9869
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Provider Business Mailing Address
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Address Line | 7000 N COTTON LN UNIT 450
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City | WADDELL
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State | AZ
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Zip | 85355-8018
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Country | US
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Telephone | 623-252-6576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTER STEVENS
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Credential |
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Telephone | 347-427-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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