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General NPI Number Information
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NPI Number | 1811483878
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Entity Type | Organization
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Legal Business Name | DESERT MOUNTAIN HEALTH
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3131 W PEORIA AVE
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City | PHOENIX
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State | AZ
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Zip | 85029-5226
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Country | US
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Telephone | 480-371-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 N DREAMY DRAW DR STE 205
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City | PHOENIX
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State | AZ
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Zip | 85020-4669
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Country | US
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Telephone | 480-371-0180
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TIM BESCH
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Credential |
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Telephone | 480-371-0180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | IFBH9001
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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