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General NPI Number Information
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NPI Number | 1447013743
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Entity Type | Organization
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Legal Business Name | LYTEHAUS
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 6991 E CAMELBACK RD STE D300
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2492
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Country | US
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Telephone | 949-244-8368
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Fax |
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Provider Business Mailing Address
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Address Line | 28501 SOLEIL CIR UNIT 211
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-6385
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Country | US
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Telephone | 239-380-9220
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Fax |
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Authorized Official
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Title or Position | DR
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Name | ALECIA M RANKOVIC
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Credential | DNP,PMHNP,APRN
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Telephone | 239-380-9220
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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 |
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License Number State |
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