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General NPI Number Information
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NPI Number | 1912766080
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Entity Type | Individual
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Provider Name | ELORA MCGEE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 4151 LA LINDA WAY STE 102
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-4600
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Country | US
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Telephone | 520-515-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E NAVAJO ST
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City | HUACHUCA CITY
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State | AZ
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Zip | 85616-9759
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Country | US
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Telephone | 520-255-1276
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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 | 305141
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License Number State | AZ
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