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General NPI Number Information
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NPI Number | 1255182788
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Entity Type | Organization
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Legal Business Name | LENYARD HEALTH GROUP
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 8433 N BLACK CANYON HWY STE 100-18
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City | PHOENIX
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State | AZ
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Zip | 85021-4873
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Country | US
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Telephone | 602-758-2158
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Fax |
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Provider Business Mailing Address
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Address Line | 8433 N BLACK CANYON HWY STE 100-18
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City | PHOENIX
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State | AZ
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Zip | 85021-4873
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Country | US
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Telephone | 602-228-0045
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Fax | 602-560-8336
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | BONNIE LENYARD
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Credential | NP
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Telephone | 602-758-2158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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