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General NPI Number Information
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NPI Number | 1790553329
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Entity Type | Organization
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Legal Business Name | HEALING EDGE RECOVERY AND WELLNESS CENTER
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 4220 N 20TH AVE STE 100
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City | PHOENIX
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State | AZ
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Zip | 85015-5124
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Country | US
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Telephone | 623-872-1818
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Fax | 623-872-1819
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Provider Business Mailing Address
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Address Line | 4120 N 108TH AVE STE 116
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City | PHOENIX
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State | AZ
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Zip | 85037-5773
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Country | US
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Telephone | 623-872-1818
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Fax | 623-872-1819
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARSIMRAN SINGH
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Credential | MD
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Telephone | 623-872-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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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