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General NPI Number Information
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NPI Number | 1700350584
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Entity Type | Individual
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Provider Name | MOLLY BEA MILLSAPS NP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 2311 W ROYAL PALM RD
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City | PHOENIX
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State | AZ
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Zip | 85021-4916
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Country | US
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Telephone | 602-269-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 1699 E 1140 N
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City | LOGAN
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State | UT
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Zip | 84341-3017
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Country | US
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Telephone | 435-258-9070
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Fax | 435-258-9080
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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 | 4908452-4405
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License Number State | UT
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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 | 221051
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License Number State | AZ
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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 | 49084528900
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License Number State | UT
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