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General NPI Number Information
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NPI Number | 1568091312
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Entity Type | Organization
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Legal Business Name | INSIGHT MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 6700 N ORACLE RD STE 326
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City | TUCSON
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State | AZ
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Zip | 85704-7739
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Country | US
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Telephone | 520-308-5517
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Fax |
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Provider Business Mailing Address
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Address Line | 12431 N COPPER QUEEN WAY
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City | ORO VALLEY
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State | AZ
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Zip | 85755-8934
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Country | US
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Telephone | 520-308-5517
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIAH C BLODGETT
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Credential | PMHNP-BC
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Telephone | 520-308-5517
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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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