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General NPI Number Information
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NPI Number | 1912346610
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Entity Type | Organization
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Legal Business Name | NORTH RIDGE COUNSELING LLC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 8889 E VIA LINDA
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5420
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Country | US
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Telephone | 928-708-9615
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Fax |
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Provider Business Mailing Address
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Address Line | 8889 E VIA LINDA
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5420
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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 | CHIEF FINANCIAL OFFICER
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Name | MR. FRED SCHAFFNER
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Credential |
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Telephone | 928-778-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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