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General NPI Number Information
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NPI Number | 1811507379
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Entity Type | Organization
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Legal Business Name | APTITUDE MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 5025 S ASH AVE STE 12
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City | TEMPE
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State | AZ
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Zip | 85282-6885
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Country | US
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Telephone | 480-572-1832
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Fax | 602-581-3245
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Provider Business Mailing Address
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Address Line | PO BOX 90487
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City | PHOENIX
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State | AZ
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Zip | 85066-0487
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Country | US
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Telephone | 480-572-1832
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Fax | 602-581-3245
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR/C.E.O.
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Name | TYLESHA TERUEL
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Credential |
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Telephone | 480-572-1832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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