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General NPI Number Information
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NPI Number | 1275774986
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Entity Type | Individual
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Provider Name | MARIAH LOYA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | SEABHS-SAFFORD 1615 S 1ST AVENUE
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City | SAFFORD
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State | AZ
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Zip | 85546
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Country | US
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Telephone | 928-428-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 504 W 29TH ST
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City | TUCSON
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State | AZ
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Zip | 85713-3353
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Country | US
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Telephone | 520-838-5600
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 309503
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License Number State | AZ
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