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General NPI Number Information
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NPI Number | 1285208769
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Entity Type | Organization
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Legal Business Name | BRIGHTMIND PSYCHIATRY PLLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 5425 N ORACLE RD STE 115
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City | TUCSON
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State | AZ
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Zip | 85704-3898
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Country | US
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Telephone | 520-664-4224
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Fax | 520-742-9146
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Provider Business Mailing Address
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Address Line | 6281 N ORACLE RD UNIT 35427
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City | TUCSON
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State | AZ
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Zip | 85740-2119
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Country | US
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Telephone | 520-664-4224
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Fax | 520-742-9146
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Authorized Official
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Title or Position | SOLE OWNER
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Name | GREGORY ALAN CAPOCY
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Credential |
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Telephone | 520-664-4224
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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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