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General NPI Number Information
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NPI Number | 1770385460
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Entity Type | Organization
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Legal Business Name | DEHP LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3336 N 32ND ST STE 106
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City | PHOENIX
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State | AZ
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Zip | 85018-6241
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Country | US
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Telephone | 602-566-7627
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Fax | 844-610-6047
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Provider Business Mailing Address
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Address Line | 3800 N CENTRAL AVE STE 1010
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City | PHOENIX
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State | AZ
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Zip | 85012-1918
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Country | US
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Telephone | 602-566-7627
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Fax | 844-610-6047
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Authorized Official
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Title or Position | CEO
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Name | JOSETTE D SULLINS
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Credential |
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Telephone | 602-566-7627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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