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General NPI Number Information
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NPI Number | 1790509354
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Entity Type | Organization
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Legal Business Name | LIV WELL BEHAVIORAL
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 8315 E HOLLY ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2823
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Country | US
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Telephone | 602-856-6535
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Fax | 480-618-4133
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Provider Business Mailing Address
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Address Line | 900 E PECOS RD STE 8
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City | CHANDLER
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State | AZ
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Zip | 85225-2400
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Country | US
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Telephone | 602-856-6535
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DANIEL GONZALEZ
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Credential |
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Telephone | 480-522-4268
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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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