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General NPI Number Information
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NPI Number | 1922705912
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Entity Type | Organization
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Legal Business Name | WEMA HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 31235 N SUNDOWN DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-3241
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Country | US
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Telephone | 480-336-2102
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Fax | 480-297-0918
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Provider Business Mailing Address
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Address Line | 31235 N SUNDOWN DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-3241
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Country | US
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Telephone | 480-336-2102
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Fax | 480-297-0918
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Authorized Official
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Title or Position | HOUSE MANAGER
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Name | AMOS WAMWEYA
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Credential |
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Telephone | 480-336-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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