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General NPI Number Information
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NPI Number | 1609746684
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Entity Type | Individual
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Provider Name | JAMES RADZIK
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Gender | Male
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3970 W 24TH ST STE 204
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City | YUMA
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State | AZ
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Zip | 85364-9261
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Country | US
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Telephone | 928-373-8041
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Fax | 928-259-2501
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Provider Business Mailing Address
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Address Line | 3970 W 24TH ST STE 204
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City | YUMA
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State | AZ
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Zip | 85364-9261
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Country | US
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Telephone | 928-373-8041
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Fax | 928-259-2501
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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 | 245214
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License Number State | AZ
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