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General NPI Number Information
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NPI Number | 1811837487
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Entity Type | Organization
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Legal Business Name | HEALING DESERT RX
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 4647 E CHANDLER BLVD STE 5
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City | PHOENIX
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State | AZ
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Zip | 85048-0435
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Country | US
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Telephone | 480-962-2111
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Fax | 480-962-2110
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Provider Business Mailing Address
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Address Line | 211 W SAINT JOHN RD
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City | PHOENIX
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State | AZ
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Zip | 85023-6520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETTY SULEYMANOV
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Credential |
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Telephone | 917-937-0605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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