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General NPI Number Information
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NPI Number | 1386011062
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Entity Type | Organization
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Legal Business Name | PSYCAREMD LLC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 2190 N GRACE BLVD
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City | CHANDLER
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State | AZ
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Zip | 85225-3416
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Country | US
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Telephone | 480-917-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 7349 N VIA PASEO DEL SUR SUITE 515-122
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3765
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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 | OWNER/PROVIDER
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Name | MELISSA RAMIREZ
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Credential | MD
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Telephone | 623-308-2472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 46449
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License Number State | AZ
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