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General NPI Number Information
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NPI Number | 1265315782
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Entity Type | Organization
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Legal Business Name | RESIDENTIAL PRESCRIPTIVE SERVICES PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 4940 S 162ND ST
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City | GILBERT
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State | AZ
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Zip | 85298-8466
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Country | US
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Telephone | 480-388-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 N 24TH ST STE 115 PMB 874450
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City | PHOENIX
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State | AZ
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Zip | 85016-7849
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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 | OWNER
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Name | KEITH BRASFIELD
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Credential |
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Telephone | 480-388-5818
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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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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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