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General NPI Number Information
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NPI Number | 1407745136
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Entity Type | Individual
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Provider Name | TARA JANOSKI MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 3210 S GILBERT RD STE 1
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City | CHANDLER
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State | AZ
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Zip | 85286-5108
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Country | US
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Telephone | 480-219-9421
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Fax | 480-207-1317
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Provider Business Mailing Address
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Address Line | 4980 S ALMA SCHOOL RD
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City | CHANDLER
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State | AZ
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Zip | 85248-5545
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Country | US
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Telephone | 480-219-9421
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Fax | 480-207-1317
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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 | 325526
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License Number State | AZ
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