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General NPI Number Information
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NPI Number | 1356130363
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Entity Type | Organization
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Legal Business Name | FOCUS FORWARD HEALTH
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 20860 N TATUM BLVD STE 300
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City | PHOENIX
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State | AZ
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Zip | 85050-4283
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Country | US
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Telephone | 602-565-1903
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Fax | 480-571-8163
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Provider Business Mailing Address
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Address Line | 3228 E HONONEGH DR
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City | PHOENIX
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State | AZ
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Zip | 85050-4804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAUREN NIVISON
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Credential |
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Telephone | 602-565-1903
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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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