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General NPI Number Information
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NPI Number | 1235915513
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Entity Type | Individual
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Provider Name | LEILA DARBOUZE
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 1109 E ASCENT ST
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City | TUCSON
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State | AZ
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Zip | 85719-0037
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Country | US
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Telephone | 520-661-8768
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 E ASCENT ST
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City | TUCSON
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State | AZ
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Zip | 85719-0037
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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 |
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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 | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 281227
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License Number State | AZ
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