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NPI 1871348748

NPI 1871348748 : MORIAH HEALTH INC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1871348748
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORIAH HEALTH INC 
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Dates
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    Enumeration Date     |    04/23/2024
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    Last Update Date     |    04/23/2024
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Provider Practice Location Address
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    Address Line         |    7010 E ACOMA DR STE 101J 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-3550
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    Country              |    US
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    Telephone            |    602-837-3977
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    Fax                  |    602-837-3977
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Provider Business Mailing Address
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    Address Line         |    7010 E ACOMA DR STE 101J 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-3550
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    Country              |    US
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    Telephone            |    602-837-3977
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    Fax                  |    602-837-3977
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Authorized Official
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    Title or Position    |    BOARD CHAIRMAN
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    Name                 |    MR. BRETT  BERNSTEIN 
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    Credential           |    
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    Telephone            |    602-837-3977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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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        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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