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General NPI Number Information
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NPI Number | 1164901161
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Entity Type | Individual
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Provider Name | JESUS ALEXIE ROMERO ARNP, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 2200 PASEO VERDE PKWY STE 190
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City | HENDERSON
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State | NV
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Zip | 89052-2703
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Country | US
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Telephone | 702-589-4871
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Fax | 702-589-4872
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Provider Business Mailing Address
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Address Line | 4531 N 16TH ST STE 114
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City | PHOENIX
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State | AZ
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Zip | 85016-5344
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Country | US
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Telephone | 602-266-8700
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Fax | 602-296-0404
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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 | AP11647
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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 | 821846
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License Number State | NV
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