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General NPI Number Information
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NPI Number | 1972412948
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Entity Type | Individual
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Provider Name | ANAHI DIAZ ENRIQUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 16165 N 83RD AVE STE 200
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City | PEORIA
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State | AZ
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Zip | 85382-5816
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Country | US
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Telephone | 602-526-5321
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Fax | --
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Provider Business Mailing Address
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Address Line | 257 CAVANESS AVE STE 200
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City | WICKENBURG
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State | AZ
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Zip | 85390-1409
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Country | US
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Telephone | 602-526-5321
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Fax | --
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LIAC-155427
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License Number State | AZ
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