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General NPI Number Information
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NPI Number | 1972229375
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Entity Type | Organization
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Legal Business Name | ADVANCED PSYCHIATRIC HEALTH PLLC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 4435 E CHANDLER BLVD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85048-7651
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Country | US
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Telephone | 480-930-2322
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Fax | 480-546-4964
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Provider Business Mailing Address
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Address Line | 4435 E CHANDLER BLVD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85048-7651
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | AMARA MEGWA
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Credential | PMHNP
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Telephone | 480-930-2322
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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