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NPI 1093683039

NPI 1093683039 : RED ARROW MIND LLC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1093683039
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    Entity Type          |    Organization 
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    Legal Business Name  |    RED ARROW MIND LLC 
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Dates
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    Enumeration Date     |    10/29/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    8914 N 91ST AVE STE 105 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85345-8390
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    Country              |    US
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    Telephone            |    817-789-3721
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4611 E CHANDLER BLVD STE 112-1188 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85048-0441
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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    |    NP
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    Name                 |    MS. LIMY  FERNANDUS 
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    Credential           |    CNP
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    Telephone            |    281-902-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084B0040X
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    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
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    License Number       |    
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    License Number State |    
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