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NPI 1972141588

NPI 1972141588 : ALBERTO SOUZA, PLLC : SAINT GEORGE, UT

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General NPI Number Information
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    NPI Number           |    1972141588
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBERTO SOUZA, PLLC 
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Dates
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    Enumeration Date     |    12/13/2019
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    Last Update Date     |    04/25/2025
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Provider Practice Location Address
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    Address Line         |    1664 S DIXIE DR STE E102 
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    City                 |    SAINT GEORGE
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    State                |    UT
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    Zip                  |    84770-7329
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    Country              |    US
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    Telephone            |    435-703-9647
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    Fax                  |    435-703-6003
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Provider Business Mailing Address
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    Address Line         |    1664 S DIXIE DR STE E102 
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    City                 |    ST GEORGE
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    State                |    UT
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    Zip                  |    84770
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    Country              |    US
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    Telephone            |    435-703-9647
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    Fax                  |    435-703-6003
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Authorized Official
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    Title or Position    |    PSYCHIATRIC NURSE PRACTITIONER
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    Name                 |     ALBERTO W SOUZA 
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    Credential           |    APRN
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    Telephone            |    435-817-9784
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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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