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General NPI Number Information
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NPI Number | 1245003649
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Entity Type | Organization
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Legal Business Name | PSYCHZEN MOBILE PARTNERS PLLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1095 E INDIAN SCHOOL RD STE 700
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City | PHOENIX
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State | AZ
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Zip | 85014-4846
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Country | US
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Telephone | 602-807-9024
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Fax |
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Provider Business Mailing Address
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Address Line | 1095 E INDIAN SCHOOL RD STE 700
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City | PHOENIX
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State | AZ
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Zip | 85014-4846
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Country | US
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Telephone | 602-807-9024
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | ANNALYN JALIE RASUL
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Credential |
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Telephone | 347-437-7526
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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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