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General NPI Number Information
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NPI Number | 1336876978
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Entity Type | Individual
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Provider Name | CHRISTOPHER R MCELNEA PMHNP - BC
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Gender | Male
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 2400 W DUNLAP AVE STE 124
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City | PHOENIX
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State | AZ
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Zip | 85021-2813
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Country | US
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Telephone | 602-399-5792
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Fax |
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Provider Business Mailing Address
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Address Line | 15431 N 170TH CT
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City | SURPRISE
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State | AZ
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Zip | 85388-1322
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Country | US
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Telephone | 602-350-7997
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 278400
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License Number State | AZ
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