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General NPI Number Information
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NPI Number | 1386239051
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Entity Type | Organization
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Legal Business Name | WILLOW SPRING BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1820 E RIVER RD STE 106
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City | TUCSON
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State | AZ
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Zip | 85718-5991
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Country | US
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Telephone | 520-308-5352
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Fax | 520-308-5574
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Provider Business Mailing Address
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Address Line | 3814 E 5TH ST
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City | TUCSON
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State | AZ
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Zip | 85716-5145
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Country | US
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Telephone | 520-372-8575
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Fax | 520-372-8576
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Authorized Official
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Title or Position | OWNER
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Name | VIRGINIA RAGONESE-GREEN
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Credential | PMHNP-BC
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Telephone | 520-308-5352
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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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