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General NPI Number Information
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NPI Number | 1841007176
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Entity Type | Organization
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Legal Business Name | BUMBLEBEE HEALTH AFTER CARE LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3101 N CENTRAL AVE STE 174
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City | PHOENIX
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State | AZ
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Zip | 85012-3613
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Country | US
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Telephone | 480-652-9952
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 N CENTRAL AVE STE 174
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City | PHOENIX
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State | AZ
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Zip | 85012-3613
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Country | US
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Telephone | 480-652-9952
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Fax |
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Authorized Official
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Title or Position | COO
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Name | STEPHEN WEIS
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Credential |
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Telephone | 480-652-9952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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