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General NPI Number Information
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NPI Number | 1912706169
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Entity Type | Organization
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Legal Business Name | WEINRICH HEALTH & WELLNESS
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 919 12TH PL STE 13
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone | 928-533-6805
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 HARRISON DR
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-5549
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Country | US
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Telephone | 928-533-6805
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Fax |
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Authorized Official
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Title or Position | FNP-C, PMHNP-BC
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Name | SUZANNE WEINRICH
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Credential |
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Telephone | 928-533-6805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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