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General NPI Number Information
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NPI Number | 1609635390
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Entity Type | Individual
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Provider Name | ELOISA MARGARITA SCANLAN MSN,PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 40 W BASELINE RD STE 120
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City | TEMPE
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State | AZ
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Zip | 85283-1259
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Country | US
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Telephone | 623-267-8489
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Fax | 623-267-8489
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Provider Business Mailing Address
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Address Line | 40 W BASELINE RD STE 120
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City | TEMPE
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State | AZ
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Zip | 85283-1259
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Country | US
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Telephone | 623-267-8489
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Fax | 623-267-8489
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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 | 2023208771
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 273093
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 95161417
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License Number State | CA
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