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General NPI Number Information
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NPI Number | 1093544603
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Entity Type | Organization
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Legal Business Name | MYALO MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 21639 N 12TH AVE STE 104
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City | PHOENIX
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State | AZ
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Zip | 85027-2802
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Country | US
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Telephone | 602-647-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 21639 N 12TH AVE STE 104
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City | PHOENIX
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State | AZ
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Zip | 85027-2802
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Country | US
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Telephone | 602-647-8249
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Fax |
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Authorized Official
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Title or Position | PMHNP, OWNER
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Name | SHANNON BROWN
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Credential | PMHNP-BC
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Telephone | 602-647-8249
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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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