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General NPI Number Information
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NPI Number | 1447631940
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Entity Type | Individual
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Provider Name | KAREN LUTOSTANSKI FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 26 S DESERT AVE
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4619
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Country | US
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Telephone | 480-269-5260
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Fax | 480-863-3972
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Provider Business Mailing Address
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Address Line | 3218 E BELL RD UNIT 1182
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City | PHOENIX
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State | AZ
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Zip | 85032-2727
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Country | US
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Telephone | 480-269-5260
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Fax | 480-863-3972
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP8032
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP11517
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License Number State | AZ
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