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General NPI Number Information
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NPI Number | 1548955297
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Entity Type | Individual
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Provider Name | RONALD JOSEPH PROSKEY NP
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1520 E PIMA ST
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City | PHOENIX
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State | AZ
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Zip | 85034-4639
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Country | US
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Telephone | 602-407-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 N VINCENT CIR
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City | MESA
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State | AZ
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Zip | 85207-4402
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Country | US
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Telephone | 480-702-4560
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Fax | 520-542-3362
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 289148
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License Number State | AZ
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