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NPI 1053044008

NPI 1053044008 : NEW SEASONS BEHAVIORAL HEALTH LLC : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1053044008
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW SEASONS BEHAVIORAL HEALTH LLC 
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Dates
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    Enumeration Date     |    07/07/2022
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    Last Update Date     |    01/23/2026
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Provider Practice Location Address
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    Address Line         |    4400 E BROADWAY BLVD STE 306 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85711-3553
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    Country              |    US
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    Telephone            |    520-369-1862
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6607 E HAWK DR 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85730-3249
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    Country              |    US
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    Telephone            |    520-369-1862
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER NP
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    Name                 |     CATHERINE  ETORI 
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    Credential           |    
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    Telephone            |    520-369-1862
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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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