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General NPI Number Information
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NPI Number | 1336535566
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER PELUSO DNP LLC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 3370 N HAYDEN RD STE 123-569
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6632
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Country | US
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Telephone | 623-399-8606
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Fax | 623-399-9958
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Provider Business Mailing Address
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Address Line | 3370 N HAYDEN RD STE 123-569
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6632
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Country | US
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Telephone | 623-399-8606
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Fax | 623-399-9958
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. CHRISTOPHER PELUSE
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Credential | DNP
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Telephone | 623-399-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN123818
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License Number State | AZ
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