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General NPI Number Information
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NPI Number | 1063057743
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Entity Type | Individual
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Provider Name | SARA BETH PIRNESS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 4848 E CACTUS RD STE 505
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4182
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Country | US
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Telephone | 480-382-4152
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Fax |
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Provider Business Mailing Address
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Address Line | 4848 E CACTUS RD STE 505 #868
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-8116
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Country | US
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Telephone | 480-382-4152
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 249461
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0003323-C-APN
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License Number State | CO
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