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General NPI Number Information
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NPI Number | 1871155655
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Entity Type | Organization
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Legal Business Name | A PLACE TO HEAL
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 16626 E AVENUE OF THE FOUNTAINS STE 201
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8201
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Country | US
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Telephone | 480-219-4199
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Fax |
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Provider Business Mailing Address
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Address Line | 16626 E AVENUE OF THE FOUNTAINS STE 201
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-8201
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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 | WELLNESS/CLINIC ADMIN
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Name | MRS. ELIZABETH GARCIA
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Credential |
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Telephone | 480-219-7133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 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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