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General NPI Number Information
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NPI Number | 1700778727
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Entity Type | Organization
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Legal Business Name | AT LAST PSYCHIATRY PLLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 405 W SOUTHERN AVE STE 111
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City | TEMPE
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State | AZ
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Zip | 85282-4500
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Country | US
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Telephone | 520-428-0682
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 E WILLIAMS FIELD RD STE 201
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City | GILBERT
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State | AZ
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Zip | 85295-1825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & MANAGING MEMBER
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Name | LAUREN SOFRANKO
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Credential | PMHNP-BC
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Telephone | 520-428-0682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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