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General NPI Number Information
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NPI Number | 1508361999
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Entity Type | Organization
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Legal Business Name | MINDFUL CHOICE INSTITUTE PLLC
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 1384 E WALKER SPRINGS PL
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City | SAHUARITA
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State | AZ
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Zip | 85629-6609
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Country | US
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Telephone | 520-477-1180
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Fax | 440-337-8178
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Provider Business Mailing Address
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Address Line | 17470 N PACESETTER WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5445
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Country | US
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Telephone | 520-477-1180
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Fax | 440-337-8178
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NP
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Name | DR. GEORGINA ROTZLER
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Credential | DNP
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Telephone | 520-477-1180
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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 | CNP02442
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License Number State | NM
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