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General NPI Number Information
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NPI Number | 1871987495
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Entity Type | Organization
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Legal Business Name | EMBARK RECOVERY LLC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 7900 E GREENWAY RD STE 214
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1715
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Country | US
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Telephone | 928-445-0778
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Fax | 928-445-0780
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Provider Business Mailing Address
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Address Line | PO BOX 12341
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City | GLENDALE
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State | AZ
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Zip | 85318-2341
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Country | US
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Telephone | 928-445-0778
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Fax | 928-445-0780
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TAYLOR H WOOD
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Credential |
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Telephone | 928-445-0778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | OTC 7091
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License Number State | AZ
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