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General NPI Number Information
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NPI Number | 1326787862
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Entity Type | Organization
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Legal Business Name | APERTURE HEALTH ENRICHMENT LLC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 5602 E CALLE MARITA
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City | CAVE CREEK
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State | AZ
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Zip | 85331-1516
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Country | US
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Telephone | 623-257-3022
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Fax | 623-760-9424
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Provider Business Mailing Address
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Address Line | 6739 W CACTUS RD
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City | PEORIA
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State | AZ
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Zip | 85381-5311
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Country | US
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Telephone | 623-257-3022
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Fax | 623-760-9424
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS FARREY
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Credential | PMHNP-BC
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Telephone | 623-257-3022
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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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