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General NPI Number Information
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NPI Number | 1861338246
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Entity Type | Organization
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Legal Business Name | RANCHO BELLA FOUNDATION
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 21609 N 12TH AVE STE 600B
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City | PHOENIX
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State | AZ
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Zip | 85027-2836
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Country | US
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Telephone | 602-622-7731
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Fax |
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Provider Business Mailing Address
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Address Line | 21609 N 12TH AVE STE 600B
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City | PHOENIX
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State | AZ
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Zip | 85027-2836
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Country | US
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Telephone | 602-622-7731
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JACK REIGELSPERGER
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Credential |
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Telephone | 602-622-7731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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