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General NPI Number Information
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NPI Number | 1346905650
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Entity Type | Individual
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Provider Name | CHANNING J KAY BSN, DNP-PMHNP.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 4909 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85008-4227
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Country | US
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Telephone | 602-685-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3003 N CENTRAL AVE STE 400
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City | PHOENIX
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State | AZ
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Zip | 85012-2929
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Country | US
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Telephone | 602-685-6000
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Fax | 602-389-3764
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 28252709A
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License Number State | IN
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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 | 283630
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License Number State | AZ
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