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General NPI Number Information
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NPI Number | 1508406745
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Entity Type | Organization
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Legal Business Name | TAILORED 2 U PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 17505 N 79TH AVE STE 304C
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City | GLENDALE
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State | AZ
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Zip | 85308-8729
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Country | US
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Telephone | 602-584-5859
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Fax | 602-584-5860
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Provider Business Mailing Address
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Address Line | 17505 N 79TH AVE STE 304C
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City | GLENDALE
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State | AZ
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Zip | 85308-8729
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Country | US
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Telephone | 602-584-5859
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Fax | 602-584-5860
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Authorized Official
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Title or Position | PROVIDER
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Name | MARGARITA MADRID
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Credential | PMHNP-BC
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Telephone | 602-584-5859
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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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