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General NPI Number Information
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NPI Number | 1831788496
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Entity Type | Organization
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Legal Business Name | ACHIEVE RECOVERY CENTER P L L C
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17035 W STATLER ST
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City | SURPRISE
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State | AZ
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Zip | 85388-1539
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Country | US
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Telephone | 602-319-9756
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD STE 202
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3036
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Country | US
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Telephone | 602-319-9756
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | WILLIAM FOX
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Credential | DNP
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Telephone | 602-319-9756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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