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General NPI Number Information
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NPI Number | 1528962545
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Entity Type | Organization
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Legal Business Name | EMMANUEL CARE BEHAVIORAL PLLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 6867 N ORACLE RD STE 157
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City | TUCSON
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State | AZ
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Zip | 85704-4283
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Country | US
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Telephone | 469-530-4932
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Fax |
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Provider Business Mailing Address
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Address Line | 2666 LA JOLLA BLVD
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-0297
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Country | US
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Telephone | 469-530-4932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONIE EMMANUEL
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Credential |
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Telephone | 469-530-4932
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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 | NULL
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