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General NPI Number Information
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NPI Number | 1134001720
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Entity Type | Organization
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Legal Business Name | SWEET WATER PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 101 NORTH FIRST AVENUE SUITE 2325-1224
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City | PHOENIX
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State | AZ
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Zip | 85003-1903
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Country | US
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Telephone | 623-217-2948
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Fax |
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Provider Business Mailing Address
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Address Line | 101 NORTH FIRST AVENUE SUITE 2325-1224
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City | PHOENIX
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State | AZ
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Zip | 85003-1903
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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 | PRACTICE OWNER (SOLO PRACTICE)
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Name | THERESA OJOYE
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Credential | MSN, RN
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Telephone | 623-217-2948
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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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