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General NPI Number Information
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NPI Number | 1861499410
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4835 E CACTUS RD STE 335
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3542
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Country | US
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Telephone | 602-787-4420
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Fax | 602-787-4419
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Provider Business Mailing Address
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Address Line | 4835 E CACTUS RD STE 335
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3542
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Country | US
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Telephone | 602-787-4420
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Fax | 602-787-4419
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Authorized Official
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Title or Position | MEMBER
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Name | JONATHAN GABRIEL ZUESS
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Credential | MD
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Telephone | 602-787-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 29189
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License Number State | AZ
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