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General NPI Number Information
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NPI Number | 1295411288
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Entity Type | Individual
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Provider Name | JORDAN REUTER PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 8070 E MORGAN TRL STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1229
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Country | US
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Telephone | 480-882-4545
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Fax | 602-714-3755
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Provider Business Mailing Address
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Address Line | 8070 E MORGAN TRL STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1229
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Country | US
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Telephone | 480-750-1200
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Fax | 480-656-7758
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 293752
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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 | 293752
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License Number State | AZ
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