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General NPI Number Information
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NPI Number | 1699534586
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Entity Type | Individual
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Provider Name | GHASSAN IBRAHIM ABUELIAN PMHNP
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Gender | Male
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 7373 N SCOTTSDALE RD STE A199
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3593
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Country | US
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Telephone | 702-805-5360
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Fax | 702-977-7488
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Provider Business Mailing Address
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Address Line | 7373 N SCOTTSDALE RD STE A199
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3593
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Country | US
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Telephone | 702-805-5360
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Fax | 702-977-7488
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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 | 10023455
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0036368
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 242328
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License Number State | AZ
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