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General NPI Number Information
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NPI Number | 1316586928
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Entity Type | Organization
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Legal Business Name | REACH MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 12/30/2019
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 5100 E HIGHWAY 90 STE B
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2444
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Country | US
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Telephone | 520-678-6019
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Fax | 559-235-7466
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Provider Business Mailing Address
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Address Line | PO BOX 820
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City | BISBEE
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State | AZ
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Zip | 85603-0820
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Country | US
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Telephone | 520-678-6019
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Fax | 559-235-7466
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA AUDREY ERSPAMER
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Credential | APRN, PMHNP-BC
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Telephone | 520-678-6019
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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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