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General NPI Number Information
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NPI Number | 1568268183
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Entity Type | Organization
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Legal Business Name | EVERWELL MENTAL HEALTH
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 623-283-2057
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Fax | 623-401-7108
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Provider Business Mailing Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 623-283-2057
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Fax | 623-401-7108
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRIAN CLUKIE
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Credential |
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Telephone | 813-997-2099
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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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