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General NPI Number Information
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NPI Number | 1942319199
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Entity Type | Organization
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Legal Business Name | BANNER BEHAVIORAL HEALTH HOSPITAL
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 7575 E EARLL DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6915
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Country | US
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Telephone | 480-448-7500
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Fax | 480-448-7567
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Provider Business Mailing Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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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 | CEO
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Name | DEBBIE FLORES
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Credential |
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Telephone | 480-448-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | SH 0147
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License Number State | AZ
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