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General NPI Number Information
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NPI Number | 1275371643
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Entity Type | Individual
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Provider Name | PAMELA MACLEOD PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 6232 N 7TH ST STE 101
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City | PHOENIX
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State | AZ
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Zip | 85014-1850
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Country | US
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Telephone | 623-233-0914
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Fax | 623-321-6050
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Provider Business Mailing Address
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Address Line | 6232 N 7TH ST STE 101
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City | PHOENIX
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State | AZ
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Zip | 85014-1850
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Country | US
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Telephone | 623-233-0914
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Fax | 623-321-6050
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 308452
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License Number State | AZ
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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 | 308452
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License Number State | AZ
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