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General NPI Number Information
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NPI Number | 1477355840
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Entity Type | Organization
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Legal Business Name | NEXUS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1701 W TUCKEY LN UNIT 116
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City | PHOENIX
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State | AZ
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Zip | 85015-1710
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Country | US
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Telephone | 602-206-7193
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Fax | 602-887-6887
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Provider Business Mailing Address
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Address Line | PO BOX 35321
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City | PHOENIX
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State | AZ
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Zip | 85069-5321
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Country | US
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Telephone | 602-206-7193
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Fax | 602-887-6887
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | MELINDA CLAYPOOL
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Credential |
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Telephone | 567-408-9018
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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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