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General NPI Number Information
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NPI Number | 1588570105
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Entity Type | Individual
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Provider Name | ELINA LEA CAIN PMHNP-BC, MRN, LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 17180 W SWEETWATER AVE UNIT 1133
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City | SURPRISE
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State | AZ
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Zip | 85388-3406
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Country | US
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Telephone | 417-392-0376
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Fax |
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Provider Business Mailing Address
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Address Line | 17180 W SWEETWATER AVE UNIT 1133
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City | SURPRISE
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State | AZ
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Zip | 85388-3406
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Country | US
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Telephone | 417-392-0376
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Fax |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 287375
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 22074
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License Number State | AZ
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