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General NPI Number Information
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NPI Number | 1023125465
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Entity Type | Organization
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Legal Business Name | PACIFIC COAST PSYCHIATRIC ASSOCIATES INC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7373 N SCOTTSDALE RD STE A199
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3593
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Country | US
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Telephone | 702-805-5360
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | RYAN PARDO
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Credential |
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Telephone | 425-213-9398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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