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General NPI Number Information
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NPI Number | 1780363119
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Entity Type | Organization
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Legal Business Name | MONKEY MIND THERAPY & WELLNESS PLLC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 8160 E BUTHERUS DR STE 5
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2523
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Country | US
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Telephone | 480-588-3560
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 N 80TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2802
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Country | US
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Telephone | 808-754-8332
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. MARTINA SOLTES
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Credential | PSYD
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Telephone | 480-588-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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