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General NPI Number Information
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NPI Number | 1952166787
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Entity Type | Organization
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Legal Business Name | SUN VIEW ESTATES BH LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 15045 W LARKSPUR DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5952
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Country | US
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Telephone | 602-717-8296
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Fax | 602-610-7241
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Provider Business Mailing Address
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Address Line | 15045 W LARKSPUR DR
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City | SURPRISE
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State | AZ
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Zip | 85379-5952
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Country | US
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Telephone | 602-717-8296
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Fax | 602-610-7241
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ANGELA DAMIAN
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Credential |
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Telephone | 602-717-8296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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