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General NPI Number Information
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NPI Number | 1033889282
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Entity Type | Organization
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Legal Business Name | DNP INNOVATIVE STRATEGIES PLLC
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Dates
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Enumeration Date | 09/19/2021
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Last Update Date | 09/19/2021
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Provider Practice Location Address
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Address Line | 371 GARDEN ST # A-51
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City | PRESCOTT
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State | AZ
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Zip | 86305-2914
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Country | US
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Telephone | 928-273-8730
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Fax |
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Provider Business Mailing Address
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Address Line | 7745 BOULDER AVE UNIT 423
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City | HIGHLAND
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State | CA
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Zip | 92346-8023
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Country | US
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Telephone | 909-770-2191
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MONIQUE FRISBY
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Credential | DNP
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Telephone | 909-770-2191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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