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General NPI Number Information
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NPI Number | 1174306906
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Entity Type | Individual
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Provider Name | AVA GREER MARSHALL-GARZA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 2190 N GRACE BLVD
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City | CHANDLER
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State | AZ
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Zip | 85225-3416
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Country | US
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Telephone | 480-955-0937
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Fax |
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Provider Business Mailing Address
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Address Line | 39311 N LUKE CIR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-5587
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Country | US
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Telephone | 480-310-6963
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 291939
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License Number State | AZ
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