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General NPI Number Information
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NPI Number | 1902647779
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Entity Type | Individual
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Provider Name | ESTHER QUEEN AMUZIE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 2375 E CAMELBACK RD STE 600
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City | PHOENIX
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State | AZ
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Zip | 85016-3493
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Country | US
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Telephone | 623-323-9312
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Fax | 509-495-1145
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Provider Business Mailing Address
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Address Line | 25107 RUSTED ROOT CT # 77406
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City | RICHMOND
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State | TX
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Zip | 77406-1504
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Country | US
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Telephone | 832-807-4835
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 308434
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License Number State | AZ
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