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General NPI Number Information
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NPI Number | 1881382299
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Entity Type | Organization
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Legal Business Name | FAMILY PSYCHIATRY OF ARIZONA PLLC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 8114 E CACTUS RD STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5260
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Country | US
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Telephone | 602-551-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 13196 N 104TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7280
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Country | US
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Telephone | 480-200-5383
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. ABIGAIL LEIGH GERKEN
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Credential | PMHNP-BC, FNP-C
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Telephone | 480-200-5383
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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 |
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License Number State |
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