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NPI 1043972896

NPI 1043972896 : RX NEUROSCIENCE : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1043972896
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    Entity Type          |    Organization 
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    Legal Business Name  |    RX NEUROSCIENCE 
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Dates
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    Enumeration Date     |    10/08/2021
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    Last Update Date     |    10/11/2021
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Provider Practice Location Address
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    Address Line         |    10810 N TATUM BLVD STE 102-309 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85028-6055
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    Country              |    US
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    Telephone            |    213-788-8990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10810 N TATUM BLVD STE 102-309 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85028-6055
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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    |    PSYCHIATRIST
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    Name                 |    DR. PALLAVI  JOSHI 
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    Credential           |    DO,MA
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    Telephone            |    914-217-4054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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