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General NPI Number Information
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NPI Number | 1609717685
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Entity Type | Organization
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Legal Business Name | ELYSIAN HEALTH
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 9375 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6991
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Country | US
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Telephone | 623-224-1993
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Fax | 623-666-6687
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Provider Business Mailing Address
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Address Line | 9375 E SHEA BLVD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6986
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Country | US
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Telephone | 623-224-1993
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Fax | 623-666-6687
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | STARR RAPETA
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Credential | NP
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Telephone | 480-550-1642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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