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General NPI Number Information
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NPI Number | 1447842505
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Entity Type | Organization
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Legal Business Name | UPTOWN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 1130 E MISSOURI AVE STE 580
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City | PHOENIX
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State | AZ
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Zip | 85014-2729
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Country | US
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Telephone | 480-542-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 15050 N 6TH ST
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City | PHOENIX
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State | AZ
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Zip | 85022-3615
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Country | US
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Telephone | 623-202-1199
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. CHARLES ROUNDS
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Credential | PA-C
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Telephone | 623-202-1199
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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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